Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL LYNN FETTEROLF, MD
ActiveFamily Medicine · NEW LONDON, WI
Registration Details
- NPI Number
- 1821069691
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.24160455912 yrs)
- Last Updated
- Dec 11, 2020
- Licenses
-
MD031976E (PA)MD031976E (PA)55231-20 (WI)
Practice Information
- Address
-
1405 MILL STNEW LONDON, WI, 549612155Browse WI providers · Browse ZIP 54961
- Phone
- 9205312400
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Obstetrics
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in NEW LONDON, WI
| Name | Credential | NPI |
|---|---|---|
| DALE L SCHLAIS | MD | 1508851403 |
| DR. JOHN A WATRING | D.O. | 1477539153 |
| REGINALD A EBIRIM | M.D. | 1396702957 |
| STEVEN A GOEDDERZ | MD | 1841226818 |
| JOSEPH LAMB | MD | 1578583621 |
| RENAE SCHULER | MD | 1366462335 |
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.