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Individual
JOHN EDGAR FETTER
Active
Individual
JOHN EDGAR FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
56823
TN
208600000X
Surgery Physician
N3028
TX
2086S0102X
Surgical Critical Care Physician
Primary
N3028
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
41164
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
N3028
TX
Other
Enumeration date
07/06/2006
Last updated
09/29/2026
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