Doctor Name: | MS. PAMELA J FLEMING |
NPI Number: | 1538140751 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 5601001190 |
Business Practice Address: | 300 N Patterson Rd Reed City, MI - 496778041 |
Business Phone Number: | 2318327170 |
Business Fax Number: | 2318329554 |
Mailing Address: | 100 Michigan St Ne # Mc845, GRAND RAPIDS |
State: | MI |
Postal Code: | 495032560 |
Phone Number: | 6164866790 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2005 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 5601001190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |