Jacob Fletcher, M.D.
Family Medicine in Lakewood, OH. Individual provider (NPI-1).
NPI number1568997393
StatusActive
Last updated in NPPESJun 29, 2022
Details
- NPI
- 1568997393
- Entity type
- Individual (NPI-1)
- Name
- Jacob Fletcher
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2017
- Certification date
- Jun 29, 2022
- Last updated
- Jun 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 35.145947 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11851 Detroit AveLakewood, OH 44107-3016
Phone 215-529-7125
Mailing address
2835 Fred Taylor DrColumbus, OH 43202-1552
Phone 256-388-9114
Other practice locations
2835 Fred Taylor Dr
Columbus, OH 43202-1552
Columbus, OH 43202-1552
Phone 614-293-3600
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