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Individual

WENDELL P FLEET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00010961
WA
207RN0300X
Nephrology Physician
Primary
MD00010961
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110073125
RAIL ROAD MEDICARE
WA
05
8394801
WA
Enumeration date
01/24/2007
Last updated
06/24/2009
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