Joseph Patrick Fetzek in Boise - Dermatology
Joseph Patrick Fetzek - NPI 1154475556
Joseph Patrick Fetzek is a Dermatology in Boise, Idaho. Joseph Patrick Fetzek practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Joseph Patrick Fetzek is 1154475556. The last update date is 2007-07-08.
Joseph Patrick Fetzek's current location address is 10222 Summerwind Dr, Boise, Idaho. You can contact this provider via phone number 2083773427. The mailing address for Joseph Patrick Fetzek is 10222 Summerwind Dr, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Patrick Fetzek |
|---|---|
| Address | 10222 Summerwind Dr, Boise, Idaho |
| Phone Number | 2083773427 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154475556 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10222 Summerwind Dr |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837043950 |
| Phone Number | 2083773427 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | M3365 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique provider identifier assigned to Joseph Patrick Fetzek?
The Joseph Patrick Fetzek has been issued the NPI (National Provider Identifier) 1154475556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Joseph Patrick Fetzek is geographically located?
The Joseph Patrick Fetzek is physically situated at the following location: 10222 Summerwind Dr, Boise, ID, 837043950.
What is the Joseph Patrick Fetzek's area of specialization and corresponding taxonomy classification?
The Joseph Patrick Fetzek's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Joseph Patrick Fetzek receive its 1154475556 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Patrick Fetzek was assigned its 1154475556 by the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the Joseph Patrick Fetzek's information last updated?
The Joseph Patrick Fetzek's information was last updated on 2007-07-08.