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Individual

DR. MARK DONALD FLEMING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
51100
MN
2086S0129X
Vascular Surgery Physician
Primary
14037
SD
2086S0129X
Vascular Surgery Physician
51100
MN
2086S0129X
Vascular Surgery Physician
55554
KY
2086S0129X
Vascular Surgery Physician
TP952
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500619443
OR
01
P00931367
RAILROAD MEDICARE
Enumeration date
04/20/2006
Last updated
07/07/2023
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