Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35052173 | OH |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 35.052173 | OH |
NPI | 1356439251 |
---|---|
Provider Name | Paul R Fleissner JR. |
First Address | Akron, OH 44333-8320 |
Second Address | Akron, OH 44333-8320 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 26/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0778485 | (05) | OH |
E32545 | (02) |