Individual
JEREMIAH FLEENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 644-8121
Mailing address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 644-8121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125052263
IL
207P00000X
Emergency Medicine Physician
Primary
27327
NE
207P00000X
Emergency Medicine Physician
48533
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020827
KAISER COMMERICAL NUMBER
CO
05
—
93282052
—
CO
Enumeration date
08/22/2008
Last updated
07/29/2014
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