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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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