Individual
PATRICK DANIEL FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 DICKINSON RD, SUITE A, CHESTERTON, IN 46304-3387
(219) 926-2133
(219) 926-8765
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-3616
(219) 364-3610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01053568A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000521497
ANTHEM
IN
05
—
200336700A
—
IN
01
—
5251392
AETMA
—
Enumeration date
03/31/2006
Last updated
09/15/2020
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