Individual
DANIEL THACKER FLEWELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5333 MCAULEY DR RM 3001, YPSILANTI, MI 48197-1097
(734) 712-8100
(734) 712-8111
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301100809
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2007
Last updated
12/04/2017
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