Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 53456 | WI |
N | 207RX0202X | Medical Oncology | 53456 | WI |
NPI | 1114121092 |
---|---|
Provider Name | Dr. Christopher D Fletcher |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 20/01/2021 |