Individual
YVONNE FETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9892
Mailing address
1006 ELLSWORTH ST, PHILADELPHIA, PA 19147-4622
(215) 470-3620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD474085
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT211099
PA
Other
Enumeration date
06/07/2016
Last updated
07/07/2022
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