Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | R3481 | KY |
N | 111NI0900X | Internist | R3481 | KY |
Y | 207RH0002X | Hospice and Palliative Medicine | 69436 | MN |
N | 207RH0002X | Hospice and Palliative Medicine | DR.0062696 | CO |
N | 2080P0207X | Pediatric Hematology-Oncologist | DR.0062696 | CO |
NPI | 1154737666 |
---|---|
Provider Name | David Flemig |
First Address | Minneapolis, MN 55415-1623 |
Second Address | Minneapolis, MN 55415-1623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2014 |
Last Update Date | 03/11/2021 |