Individual
DR. LINVAL KEITH FLEETWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 BROADWAY BLVD, FLINT, MI 48506-3530
(810) 239-7684
(810) 239-4921
Mailing address
1415 BROADWAY BLVD, FLINT, MI 48506-3530
(810) 239-7684
(810) 239-4921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LF034519
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433953810
—
MI
Enumeration date
08/25/2005
Last updated
10/08/2013
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