Individual
JANICE LEA FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 S HWY 65, KANABEE HOSPITAL, MORA, MN 55051
(320) 679-1212
(320) 225-3429
Mailing address
18895 BEROUN CROSSING RD, PINE CITY, MN 55063
(320) 629-6692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19089
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404572
MEDICA
MN
05
—
102897900
—
MN
01
—
110193772
RAILROAD MEDICARE
—
01
—
164400
UCARE
MN
01
—
73D27FL
BLUE CROSS
MN
01
—
73D28FL
BLUE CROSS
MN
Enumeration date
08/17/2006
Last updated
03/24/2009
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