Individual
DR. JUSTUS JOHN FIECHTNER
Active
Individual
DR. JUSTUS JOHN FIECHTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,M.P.H.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301-057361
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000565
MCLAREN HEALTH PLAN
MI
01
—
110C314380
BLUE CROSS GROUP PIN
MI
01
—
200000007318
PHP OF MICHIGAN
MI
05
—
4214622
—
MI
01
—
4392064
AETNA
MI
01
—
660003062
RAILROAD MEDICARE
MI
Enumeration date
06/03/2006
Last updated
02/28/2011
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