Healthcare Provider Details

I. General information

NPI: 1689585002
Provider Name (Legal Business Name): MARGARET SMITH FLETCHER MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 CALLE VISTA DEL SOL
SAN CLEMENTE CA
92673-6913
US

IV. Provider business mailing address

46465 KILLARNEY CIR
CANTON MI
48188-3501
US

V. Phone/Fax

Practice location:
  • Phone: 949-331-7051
  • Fax: 949-369-9242
Mailing address:
  • Phone: 949-331-7051
  • Fax: 949-369-9424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.072011
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: