Fleming, Matthew G
Fleming, Matthew G is an individual health care provider with primary practice located at 4324 W Bradley Rd , Milwaukee WI 53223-3710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Fleming, Matthew G can be contacted via phone (414) 446-3450.Contact Information
Primary practice address
4324 W Bradley Rd
Milwaukee WI 53223-3710
Phone: (414) 446-3450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 36238 | Wisconsin |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 36238 | Wisconsin |
Profile Details
| NPI number | 1962453787 |
|---|---|
| LBN Legal business name | Fleming, Matthew G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 1st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962453787 | NPPES |
| Wisconsin | MEDICAID | 32099900 | |
| Wisconsin | Other | 002000162R |
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