MEDICARE: RICHARD T VETTER MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	33414	MN
2	207Q00000X	Family Medicine Physician	5800	ND

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0112632	OTHER	ND	MEDICA #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3M183VE	OTHER	ND	MNBS #
4	ND100034	OTHER	ND	LHS #
5	2M009VE	OTHER	MN	MNBS #
6	DA9011015649	OTHER	ND	PREFERRED ONE #
7	676662	OTHER	ND	AMERICA'S PPO/ARAZ #
8	0105985	OTHER	ND	MEDICA #
9	0C304VE	OTHER	ND	MNBS #
10	55A99VE	OTHER	ND	MNBS #
11	HP19558	OTHER	ND	HEALTHPARTNERS #
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	0108145	OTHER	ND	MEDICA #
14	0C305VE	OTHER	ND	MNBS #
15	111861	OTHER	ND	UCARE #

NPI Number	:	1427085042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD T VETTER MD

Provider Business Mailing Address
First Line	:	726 13TH AVE E
Second Line	:
City	:	WEST FARGO
State	:	ND
Zip	:	58078-3304
Country	:	US
Telephone Number	:	701-510-2010
Fax Number	:	844-689-2048

Provider Business Practice Location Address
First Line	:	1401 13TH AVE E
Second Line	:
City	:	WEST FARGO
State	:	ND
Zip	:	58078-3468
Country	:	US
Telephone Number	:	701-364-5751
Fax Number	:	701-364-5750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	03/11/2026

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308