Most Relevant Information
Provider Data
| NPI Number: | 1003071861 |
| Provider Name: | TERA FLEMING |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/22/2008 |
| Last Updated: | 07/22/2008 |
Provider Practice Location
19401 NORTHLINE RD
SOUTHGATE
MI
481952277
Practice Location Phone/Fax
| Phone: | 7347857718 |
| Fax: |
Provider Mailing Location
3918 HIGH ST
APT.1
ECORSE
MI
482291672
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |