Brent P Fletcher, MD
Obstetrics & Gynecology in Wisconsin Rapids, WI. Individual provider (NPI-1).
NPI number1790797199
StatusActive
Last updated in NPPESDec 5, 2012
Details
- NPI
- 1790797199
- Entity type
- Individual (NPI-1)
- Name
- Brent P Fletcher
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2006
- Last updated
- Dec 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 41790 | WI | Yes |
Practice location
2031 Peach StWisconsin Rapids, WI 54494-5181
Phone 715-423-0122
Mailing address
2031 Peach StWisconsin Rapids, WI 54494-5181
Phone 715-423-0122
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