Michael David Fetterly

Community Health Worker · Port Huron, MI

Individual Active NPI

NPI number 1255074357

Practice location

3111 Electric Ave
Port Huron, MI 48060-8127
Phone
(810) 985-8900

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NPI record

NPI
1255074357
Entity type
Individual (Type 1)
Enumeration date
April 16, 2022
Last updated
April 16, 2022
Certified
April 16, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community Health Worker Primary 172V00000X — —

Mailing address

3177 Elk St
Port Huron, MI 48060-2074
Phone
(810) 300-6153

About Michael Fetterly

Michael David Fetterly is a healthcare provider registered in the NPI registry with the primary taxonomy Community Health Worker (code 172V00000X). The practice location is 3111 Electric Ave, Port Huron, MI 48060-8127. The NPI number 1255074357 was assigned on April 16, 2022 and the record was last updated on April 16, 2022.

Frequently asked questions

What is the NPI number of Michael David Fetterly?

The NPI number is 1255074357.

What is the phone number of Michael Fetterly?

The phone number listed for the practice location is (810) 985-8900.

Where is Michael Fetterly located?

3111 Electric Ave, Port Huron, MI 48060-8127.

What is the taxonomy code for Michael Fetterly?

The primary taxonomy code is 172V00000X – Community Health Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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