Individual
MICHAEL J. FLETCHER
Active
Individual
MICHAEL J. FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01035271A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112530
ANTHEM PIN#
IN
01
—
110215615
MEDICARE RAILROAD #
IN
05
—
200026720
—
IN
05
—
200311740HB
—
IN
01
—
4055981
AETNA PIN#
IN
Enumeration date
08/15/2005
Last updated
10/08/2010
Update your record
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