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Dr. John Thomas Yetter, MD
Specialist in Greenville, Illinois
NPI 1952359770

John Thomas Yetter is a Specialist based in Berkeley, IL. John Thomas Yetter practices in Greenville, IL and has the professional credentials of MD. The NPI Number for John Thomas Yetter is 1952359770 and holds a License No. 036063187 (Illinois).

The current practice location address for John Thomas Yetter is 200 Health Care Dr, Greenville, IL and can be reached out via phone at 618-664-9830 and via fax at 618-664-9820.

Location: 200 Health Care Dr, Greenville, IL, 63134-1443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952359770
Provider Name
John Thomas Yetter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Health Care Dr, Greenville, IL, 63134-1443
Phone Number
618-664-9830
Fax Number
618-664-9820
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036363187 01 IL IL LICENSE
810300008 01 IL MEDICARE OSCAR A
841619029 01 MO MISSOURI
institution
Provider Business Practice Location Address Details
Address
200 Health Care Dr
City
Greenville
State
Illinois
Zip
62246-1154
Phone Number
618-664-9830
Fax Number
618-664-9820
person
Provider Business Mailing Address Details
Address
200 Health Care Dr
City
Greenville
State
Illinois
Zip
62246-1154
Phone Number
618-664-9830
Fax Number
618-664-9820
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036063187 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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