Healthcare Provider Details

I. General information

NPI: 1043433006
Provider Name (Legal Business Name): DEBORAH D. FLEISCHMANN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N WAYNE RD
WESTLAND MI
48185-3628
US

IV. Provider business mailing address

400 N WAYNE RD
WESTLAND MI
48185-3628
US

V. Phone/Fax

Practice location:
  • Phone: 734-522-7000
  • Fax: 734-522-7012
Mailing address:
  • Phone: 734-522-7000
  • Fax: 734-522-7012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704136023
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: