IndividualActive
Joseph Fetzek, M.D.
NPI 1154475556 · Dermatology Physician · Boise, ID
Provider details
- NPI number
- 1154475556
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M3365 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6111 W Overland Rd
Boise, ID 83709-3018
Phone: (208) 377-0450
Approximate (ZIP-level) locationGet directions
Mailing address
10222 Summerwind Dr
Boise, ID 83704-3950
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.