MEDICARE: DR. CHRISTOPHER MICHAEL FLEENER MD

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	2085R0202X	Diagnostic Radiology Physician	7421A	WY
2	2085R0202X	Diagnostic Radiology Physician	23588	NE
3	2085R0202X	Diagnostic Radiology Physician	312998	NY
4	2085R0202X	Diagnostic Radiology Physician	MD4575793	PA
5	2085R0202X	Diagnostic Radiology Physician	44328	CO

General Provider Information

NPI Number	:	1972536365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER MICHAEL FLEENER MD

Provider Business Mailing Address
First Line	:	3408 MUSKRAT CREEK DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-7033
Country	:	US
Telephone Number	:	970-988-6156
Fax Number	:

Provider Business Practice Location Address
First Line	:	3408 MUSKRAT CREEK DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-7033
Country	:	US
Telephone Number	:	970-988-6156
Fax Number	:

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

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	03/22/2022

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