Individual
REBECCA ANNE FETTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 421-7442
Mailing address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8728-33
WI
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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