Individual
DR. JUSTUS JOHN FIECHTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,M.P.H.
Contact information
Practice address
3394 E JOLLY RD, SUITE C, LANSING, MI 48910-8594
(517) 272-9700
(517) 272-9706
Mailing address
3394 E JOLLY RD, SUITE C, LANSING, MI 48910-8594
(517) 272-9700
(517) 272-9706
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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