Individual provider · Type 1 NPI
John Thomas Yetter, M. D.
Specialist · Greenville, IL
NPI number
1952359770
Active
Practice location
200 Health Care Dr, Ste 1501
Greenville, IL 62246-1154
Fax (618) 664-9820
Mailing address
8531 Frost Ave
Berkeley, MO 63134-1443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036063187 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1952359770
John Thomas Yetter, M. D.'s National Provider Identifier is 1952359770, issued on May 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Greenville, IL. The record was last updated on Jun 30, 2009.