Provider Demographics
NPI:1609950435
Name:FLEMING, PHILIP VOILES (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:VOILES
Last Name:FLEMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5333 MCAULEY DRIVE
Mailing Address - Street 2:SUITE R2106
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1014
Mailing Address - Country:US
Mailing Address - Phone:734-712-1990
Mailing Address - Fax:734-712-1991
Practice Address - Street 1:5333 MCAULEY DRIVE
Practice Address - Street 2:SUITE R2106
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1014
Practice Address - Country:US
Practice Address - Phone:734-712-1990
Practice Address - Fax:734-712-1991
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301042489207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104444490Medicaid
MI101771OtherCARE CHOICES
MI1608109391OtherBLUE CROSS BLUE SHIELD
MID90171Medicare UPIN
MI104444490Medicaid