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Individual

DR. MICHAEL FLEENER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5345 SPRING ST, DAVENPORT, IA 52807-2764
(563) 359-1601
(359) 355-7111
Mailing address
5345 SPRING ST, DAVENPORT, IA 52807-2764
(563) 359-1601
(359) 355-7111

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5840
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0155507
IA
05
2155507
IA
Enumeration date
03/21/2006
Last updated
07/09/2007
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