Individual
MR. DAN FETTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6727 SHERMAN ST, OTTER LAKE, MI 48464-9794
(810) 793-8957
(810) 793-2493
Mailing address
130 ELIZABETH ST, CROSWELL, MI 48422-1112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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