Individual
MR. SCOTT JOSEPH FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Mailing address
11640 SHANER AVE NE, CEDAR SPRINGS, MI 49319-8553
(616) 940-0040
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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