Organization
MIKE FLEWELLING DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FLEWELLING DDS (OWNER)
(269) 683-4180
Entity
Organization
Contact information
Practice address
24 N SAINT JOSEPH AVE, SUITE E-2, NILES, MI 49120-2263
(269) 683-4180
Mailing address
24 N SAINT JOSEPH AVE, SUITE E-2, NILES, MI 49120-2263
(269) 683-4180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020888
MI
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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