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Nicole Fetterer

NPI 1972410181 · on the registry since 2026

Practice

Address
62445 Shimmel Rd
Centreville, MI 49032
Phone
(616) 510-9183
Organisation at this address
St. Joseph County Isd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan