Individual
DR. MATTHEW G FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4324 W BRADLEY RD, MILWAUKEE, WI 53223-3710
(414) 446-3450
Mailing address
PO BOX 1003, WICHITA, KS 67201-1003
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36238
WI
207ND0900X
Dermatopathology Physician
36238
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000162R
HUMANA
—
05
—
32099900
—
WI
Enumeration date
05/15/2006
Last updated
07/01/2021
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