Individual provider · Type 1 NPI

Michael Lynn Fetterolf, MD

Family Medicine Physician · New London, WI

NPI number 1821069691 Active

Practice location

1405 Mill St
New London, WI 54961-2155

Mailing address

PO Box 8003
Appleton, WI 54912-8003

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XMD031976E (PA)
Obstetrics Physician 207VX0000XMD031976E (PA)
Family Medicine Physician Primary 207Q00000X55231-20 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1821069691

Michael Lynn Fetterolf, MD's National Provider Identifier is 1821069691, issued on Jan 30, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in New London, WI. The record was last updated on Dec 11, 2020.