Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE L FETTERMAN, M.D.
ActiveOtolaryngic Allergy · GERMANTOWN, TN
Registration Details
- NPI Number
- 1699881052
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2006 (19.709401597213 yrs)
- Last Updated
- Dec 17, 2020
- License
-
MD29959 (TN)
Practice Information
- Address
-
7600 WOLF RIVER BLVDSUITE 220GERMANTOWN, TN, 381381785Browse TN providers · Browse ZIP 38138
- Phone
- 9017555300
- Fax
- 9017560196
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.