MEDICARE: ALISON FLEIG PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	50.004780RX	OH

General Provider Information

NPI Number	:	1013312693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON FLEIG PA-C

Provider Business Mailing Address
First Line	:	3830 WOODLEY RD STE 2A
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-1177
Country	:	US
Telephone Number	:	419-724-0004
Fax Number	:

Provider Business Practice Location Address
First Line	:	3830 WOODLEY RD STE 2A
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-1177
Country	:	US
Telephone Number	:	419-724-0004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2014
Last Update Date	:	10/19/2016

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Directions to “ ALISON FLEIG PA-C” Practice Location

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