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Individual

DOMINIC FETTERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
601 S SHORE DR UNIT 121, BATTLE CREEK, MI 49014-5440
(269) 963-3072
Mailing address
601 S SHORE DR UNIT 121, BATTLE CREEK, MI 49014-5440
(269) 963-3072

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010700
MI
111NN0400X
Neurology Chiropractor
2301010700
MI

Other

Enumeration date
08/15/2018
Last updated
12/11/2018
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