Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Lynn Fetterolf, MD

Individual provider Family Medicine Physician · NPI 1821069691

Michael Lynn Fetterolf, MD is a Family Medicine Physician in New London, Wisconsin. Licensed in Pennsylvania and Wisconsin. Registered with an NPI since 2006.

Licensed in
PA, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1405 Mill St
New London, WI 54961-2155
Phone: (920) 531-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 55231-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD031976E (PA)
Obstetrics Physician Taxonomy 207VX0000X · Licence MD031976E (PA)

Record details

NPI number1821069691
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020

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