Individual
MICHAEL RYAN FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
N110 BRUX RD, APPLETON, WI 54915-9439
(920) 968-0464
(920) 968-0482
Mailing address
521 S MAIN ST, MARION, WI 54950-9723
(715) 853-1643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5725-12
WI
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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