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NPI Code Detail

MEDICARE: DR. MICHAEL EDWARD FLEENOR M.D.

MEDICARE:  DR. MICHAEL EDWARD FLEENOR  M.D.
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
1207R00000XInternal Medicine Physician00009356AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5G587OTHERALMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1051082950OTHERALBLUE SHIELD OF ALABAMA
21457365132OTHERGROUP PAYEE NPI
31376515270OTHERNPI
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376515270
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL EDWARD FLEENOR M.D.
Provider Business Mailing Address
First Line : 1400 6TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1502
Country : US
Telephone Number : 205-930-1504
Fax Number : 205-930-0243
Provider Business Practice Location Address
First Line : 1400 6TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1502
Country : US
Telephone Number : 205-930-1504
Fax Number : 205-930-0243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 03/02/2010

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Directions to “ DR. MICHAEL EDWARD FLEENOR M.D.” Practice Location

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