Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARTIN RYAN FETZER, D.O.
ActiveDR. MARTIN RYAN FETZER, D.O. is a Pain Medicine (PM&R) healthcare provider located in LOMBARD, Illinois. NPI 1649499476 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · LOMBARD, IL
Registration Details
- NPI Number
- 1649499476
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.341814485568 yrs)
- Last Updated
- Aug 7, 2023
- Licenses
-
OS014454 (PA)5101017042 (MI)036129085 (IL)036129085 (IL)
Practice Information
- Address
-
1801 S HIGHLAND AVE STE 220LOMBARD, IL, 601484932Browse IL providers · Browse ZIP 60148
- Phone
- 6309672225
- Fax
- 6302416906
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Pain Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.