Healthcare Provider Details

I. General information

NPI: 1467535674
Provider Name (Legal Business Name): ANTHONY KARL GETTEL D.C., D.A.C.R.B.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 10/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 WILDWOOD TRL
FERGUS FALLS MN
56537-2662
US

IV. Provider business mailing address

755 WILDWOOD TRL
FERGUS FALLS MN
56537-2662
US

V. Phone/Fax

Practice location:
  • Phone: 218-739-2819
  • Fax:
Mailing address:
  • Phone: 218-739-2819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number002144
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: