Michael P Fetherston, MD

NPI #1639130040 in Brown Deer, Wisconsin

Provider Information

NPI Number: 1639130040
Entity Type: Individual
Name: Michael P Fetherston, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 28, 2006
Last Updated: Jun 12, 2012

Practice Location

Address: 9233 N GREEN BAY RD
City: Brown Deer
State: Wisconsin
ZIP Code: 53209-1103
Phone: (414) 270-8150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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