Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWN MIKEAL FETTIG, LD
ActiveMR. SHAWN MIKEAL FETTIG, LD is a 122400000X healthcare provider located in VANCOUVER, Washington. NPI 1942398524 is currently active in the NPPES registry. Verify at CMS.
122400000X · VANCOUVER, WA
Registration Details
- NPI Number
- 1942398524
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2006 (19.663347969537 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ON00000393 (WA)
Practice Information
- Address
-
2701 NE 114 AVE#K6VANCOUVER, WA, 986844289Browse WA providers · Browse ZIP 98684
- Phone
- 3608927107
- Fax
- 3608918361
- Primary Specialty
-
122400000X
122400000X
Other 122400000X Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| THOMAS ALBERT BOHNA | LD | 1598704033 |
| MR. EUGENE REINHARDT MILLER JR. | — | 1548279854 |
| JANA MOGA | LD LICENSED DENTURIS | 1700938248 |
| MR. LENARD GOBIN DEOCHAND | — | 1386782282 |
| MR. LOGAN V MAY | L.D. | 1659596955 |
| JI XU | — | 1164608626 |
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.