Individual
DR. MICHAEL EDWARD FLEENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1504
(205) 930-0243
Mailing address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1504
(205) 930-0243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00009356
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051082950
BLUE SHIELD OF ALABAMA
AL
01
—
1376515270
NPI
—
01
—
1457365132
GROUP PAYEE NPI
—
05
—
307309275
—
AL
01
—
G587
MEDICARE GROUP NUMBER
AL
Enumeration date
02/03/2006
Last updated
03/02/2010
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