Organization
FLEMING DERMATOPATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW G FLEMING MD (PRESIDENT)
(414) 446-3450
Entity
Organization
Contact information
Practice address
1661 N WATER ST, #500, MILWAUKEE, WI 53202-2085
(414) 446-3450
Mailing address
PO BOX 1003, WICHITA, KS 67201-1003
(800) 425-6236
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/18/2009
Last updated
12/12/2024
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