Provider Demographics
NPI:1558529388
Name:FLEISHER, MITCHELL ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:ALLAN
Last Name:FLEISHER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 303
Mailing Address - Street 2:ROCKFISH CENTER SUITE 1 SR 664
Mailing Address - City:NELLYSFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22958
Mailing Address - Country:US
Mailing Address - Phone:434-361-1896
Mailing Address - Fax:434-361-1928
Practice Address - Street 1:ROCK FISH CENTER
Practice Address - Street 2:SUITE 1 SR 664
Practice Address - City:NELLYSFORD
Practice Address - State:VA
Practice Address - Zip Code:22958
Practice Address - Country:US
Practice Address - Phone:434-361-1896
Practice Address - Fax:434-361-1928
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101037274207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine