Provider Demographics
NPI:1942284245
Name:FLEETWOOD, MICHELLE (DVM, DACVP)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:FLEETWOOD
Suffix:
Gender:F
Credentials:DVM, DACVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4732
Mailing Address - Country:US
Mailing Address - Phone:301-654-0288
Mailing Address - Fax:202-782-9150
Practice Address - Street 1:AFIP BLDG 54 RM G117 DEPT VETERINARY PATHOLOGY
Practice Address - Street 2:14TH ST AND ALASKA AVE, NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20306-0001
Practice Address - Country:US
Practice Address - Phone:202-782-2442
Practice Address - Fax:202-782-9150
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian