Healthcare Provider Details

I. General information

NPI: 1205538402
Provider Name (Legal Business Name): PATRICK MICHAEL FLEMING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HARNOIS AVE STE 1B
WESTBROOK ME
04092-4395
US

IV. Provider business mailing address

1 HARNOIS AVE STE 1B
WESTBROOK ME
04092-4395
US

V. Phone/Fax

Practice location:
  • Phone: 207-662-1340
  • Fax: 207-662-1341
Mailing address:
  • Phone: 207-662-1340
  • Fax: 207-662-1341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD30347
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: