Dr. John David Fetzer
Foot Surgery
335 E Waterloo Rd
Akron
, Ohio 44319-1218
Dr. John David Fetzer
Foot Surgery
335 E Waterloo Rd
Akron
, Ohio 44319-1218
(330) 724-5470
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. John David Fetzer
- 335 E Waterloo Rd
- Akron, OH
- Zip : 44319-1218
- Fax : (330) 724-5470
- Phone : (330) 724-8689
Second Address
- Dr. John David Fetzer
- 335 E Waterloo Rd
- Akron, OH
- Zip : 44319-1218
- Fax : (330) 724-5470
- Phone : (330) 724-8689
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 36.002423 | OH |
National Provider Identifier
| NPI | 1194712620 |
|---|---|
| Provider Name | Dr. John David Fetzer |
| First Address | Akron, OH 44319-1218 |
| Second Address | Akron, OH 44319-1218 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 12/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0537460001 | MEDICARE NSC (01) | |
| 0689974 | (05) | OH |
| T80657 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.