Organization
DEBORAH FLETCHER M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH G FLETCHER MD (OWNER)
(612) 925-6134
Entity
Organization
Contact information
Practice address
559 CAPITOL BLVD, SAINT PAUL, MN 55103-2101
(651) 232-2711
Mailing address
6200 SHINGLE CREEK PKWY, STE 300, BROOKLYN CENTER, MN 55430-2128
(763) 561-5986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28700
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0408218
MEDICA
MN
01
—
106161
UCARE
MN
01
—
458M3FL
BLUE CROSS BLUE SHIELD
MN
01
—
A63141000518
PREFERRED ONE
MN
01
—
HP10427
HEALTHPARTNERS
MN
Enumeration date
10/02/2007
Last updated
10/02/2007
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