Individual
MRS. CAROL MICHALE FETZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,OMT
Contact information
Practice address
2548 N MAIZE CT, SUITE 100, WICHITA, KS 67205-7347
(316) 706-7623
Mailing address
2548 N MAIZE CT, SUITE 100, WICHITA, KS 67205-7347
(316) 706-7623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KS
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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