Individual
DR. MICHAEL L FLEWELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24 N SAINT JOSEPH AVE, SUITE E-2, NILES, MI 49120-2263
(269) 683-4180
Mailing address
741 BROADWAY ST UNIT 580, NILES, MI 49120-7026
(269) 683-4180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.029202
IL
1223G0001X
General Practice Dentistry
Primary
2901020888
MI
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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