Individual
DR. APRIL M FETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7331 COLLEGE PKWY STE 300, FORT MYERS, FL 33907-5524
(239) 337-2003
(239) 337-3168
Mailing address
1 WESTBROOK CORPORATE CTR, #240, WESTCHESTER, IL 60154-5701
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
036111564
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS16123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111564
—
IL
01
—
1633878
BCBS
IL
01
—
207067
MEDICARE PTAN LOCALITY 16
IL
01
—
207073
MEDICARE PTAN LOCALITY 15
IL
01
—
7205467
AETNA
—
01
—
DA4902
RAILROAD MEDICARE PTAN
—
01
—
P00180883
RAILROAD MEDICARE
—
Enumeration date
01/10/2006
Last updated
10/09/2019
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