Individual
DAVID MICHAEL FETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 934-9999
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
30055
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04489049
—
MS
01
—
051116603
BCBS
AL
01
—
051116604
BCBS
AL
01
—
051116605
BCBS
AL
05
—
128816
—
AL
05
—
128818
—
AL
05
—
128820
—
AL
Enumeration date
05/28/2008
Last updated
06/28/2023
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