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Individual

JEFFREY JAMES FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP G, ANN ARBOR, MI 48109
(734) 936-7010
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
4301087962
MI
2084A2900X
Neurocritical Care Physician
4301087962
MI
2084N0400X
Neurology Physician
4301087962
MI
2084V0102X
Vascular Neurology Physician
Primary
4301087962
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D16078396
MI
Enumeration date
08/15/2006
Last updated
12/12/2018
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