Individual
DR. WILLIAM VICTOR FATTIG
Active
Individual
DR. WILLIAM VICTOR FATTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21201
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200269730A
KANSAS MEDICAID
KS
01
—
28D1030805
CLIA
NE
01
—
35808
MIDLANDS
NE
01
—
P00181202
RR MEDICARE
NE
Enumeration date
10/24/2006
Last updated
08/15/2016
Update your record
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