Individual
DR. DOUGLAS CARLISLE FLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3315 N RIDGE RD E STE 100, ASHTABULA, OH 44004-4347
(440) 964-8387
Mailing address
3315 N RIDGE RD E STE 100, ASHTABULA, OH 44004-4347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35085846
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2578492
—
OH
Enumeration date
04/08/2006
Last updated
03/17/2018
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