Fleissner, Michael J

Fleissner, Michael J is an individual health care provider with primary practice located at 6810 State Route 162 Ste 102 , Maryville IL 62062-8560. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fleissner, Michael J can be contacted via phone (618) 288-4076.

Contact Information

Primary practice address
6810 State Route 162 Ste 102 Maryville IL 62062-8560
Phone: (618) 288-4076
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD100821 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 100821 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036.084308 Illinois

Profile Details

NPI number 1942289459
LBN Legal business name Fleissner, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Feb 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942289459 NPPES
Missouri MEDICAID 203452909

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