Individual
MICHAEL ROBERT FETTIPLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(410) 900-4498
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-3030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036166732
IL
207L00000X
Anesthesiology Physician
271185
MA
Other
Enumeration date
06/19/2017
Last updated
03/22/2024
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