Individual
DR. MARTIN RYAN FETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1801 S HIGHLAND AVE STE 220, LOMBARD, IL 60148-4932
(630) 967-2225
(630) 241-6906
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036129085
IL
208100000X
Physical Medicine & Rehabilitation Physician
5101017042
MI
208100000X
Physical Medicine & Rehabilitation Physician
OS014454
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036129085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129085
—
IL
Enumeration date
04/24/2007
Last updated
08/07/2023
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