Individual
JOHN FETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10224 SHENK RD, DELPHOS, OH 45833-9205
(419) 234-8403
Mailing address
PO BOX 54, DELPHOS, OH 45833-0054
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093818
—
OH
Enumeration date
12/21/2020
Last updated
12/21/2020
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