Michael J Fleissner in Maryville - Specialist
Michael J Fleissner - NPI 1942289459
Michael J Fleissner is a Specialist in Maryville, Illinois. Michael J Fleissner practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael J Fleissner is 1942289459. The last update date is 2021-02-04.
Michael J Fleissner's current location address is 6810 State Route 162 Ste 102, Maryville, Illinois. You can contact this provider via phone number 6182884076. The mailing address for Michael J Fleissner is 6810 State Route 162 Ste 102, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Fleissner |
|---|---|
| Address | 6810 State Route 162 Ste 102, Maryville, Illinois |
| Phone Number | 6182884076 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942289459 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2021-02-04 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 Ste 102 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628560 |
| Phone Number | 6182884076 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD100821 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 203452909 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael J Fleissner by the Centers for Medicare & Medicaid Services (CMS)?
The Michael J Fleissner has been assigned the NPI (National Provider Identifier) 1942289459. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Michael J Fleissner's physical address?
The Michael J Fleissner is physically located at 6810 State Route 162 Ste 102, in the city of Maryville, IL, with the postal code 620628560.
What is Michael J Fleissner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael J Fleissner's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942289459 to Michael J Fleissner?
The Michael J Fleissner received its 1942289459 assignment from the Centers for Medicare & Medicaid Services on 2006-01-12.
When was the information pertaining to Michael J Fleissner most recently updated or revised?
The details related to Michael J Fleissner, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-04.