MEDICARE: MARY ANN FLEMING CNM

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	367A00000X	Advanced Practice Midwife	4704117608	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	162771	OTHER	MN	GREAT LAKES HEALTH PLAN
2	50875	OTHER	MI	HEALTH PLAN OF MICHIGAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0998654	OTHER	MI	HEALTH PLUS OF MICHIGAN
5	1881670024	OTHER	MI	MOLINA HEALTHCARE OF MICHIGAN
6	381908328-382	OTHER	MI	CARE SOURCE OF MICHIGAN
7	420G310800	OTHER	MI	BLUE CROSS BLUE SHIELD OF MICHIGAN

General Provider Information

NPI Number	:	1881670024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ANN FLEMING CNM

Provider Business Mailing Address
First Line	:	501 LAPEER
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48607-1208
Country	:	US
Telephone Number	:	989-759-6464
Fax Number	:	989-399-8233

Provider Business Practice Location Address
First Line	:	3175 W. PROFESSIONAL DRIVE
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2823
Country	:	US
Telephone Number	:	989-667-3377
Fax Number	:	989-667-9991

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	03/08/2011

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Directions to “ MARY ANN FLEMING CNM” Practice Location

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