Robert John Fetzer M.S., L.M.S.W.

NPI 1619049004 - Social Worker - 1041C0700X

NPI Details
NPI 1619049004
Gender Male
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
400 STODDARD RD
RICHMOND MI, 48062-2505, US
Phone (810) 392-2167
Fax
Business Location
2900 ROSA PARKS BLVD
DETROIT MI, 48216-1217, US
Phone (313) 965-6597
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801004435
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According to our database, Robert John Fetzer M.S., L.M.S.W. NPI is 1619049004, taxonomy code is 1041C0700X and license number is 6801004435, license state is located at Michigan. Robert John Fetzer M.S., L.M.S.W. physically located at 400 Stoddard Rd, Richmond MI, 48062-2505. NPI Number Robert John Fetzer M.S., L.M.S.W. has the Individual type.

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1619049004 NPI number is provided on an as is basis without warranty of any kind. 1619049004 is maintained by the National Plan & Provider Enumeration System. The contents of Robert John Fetzer M.S., L.M.S.W. are for informational purposes only.