Provider Demographics
NPI:1467535674
Name:GETTEL, ANTHONY KARL (DC, DACRB)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:KARL
Last Name:GETTEL
Suffix:
Gender:M
Credentials:DC, DACRB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 WILDWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-2662
Mailing Address - Country:US
Mailing Address - Phone:218-739-2819
Mailing Address - Fax:
Practice Address - Street 1:755 WILDWOOD TRL
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2662
Practice Address - Country:US
Practice Address - Phone:218-739-2819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN002144111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN307327100Medicaid
MN307327100Medicaid
MNT65539Medicare UPIN