Provider Demographics
NPI:1518540657
Name:FLEMING, CAITLIN VICTORIA MARY (MD/MBA)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:VICTORIA MARY
Last Name:FLEMING
Suffix:
Gender:F
Credentials:MD/MBA
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:VICTORIA MARY
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 MCMILLEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT ATKINSON
Mailing Address - State:WI
Mailing Address - Zip Code:53538-1233
Mailing Address - Country:US
Mailing Address - Phone:713-500-5666
Mailing Address - Fax:713-500-5800
Practice Address - Street 1:500 MCMILLEN ST
Practice Address - Street 2:
Practice Address - City:FORT ATKINSON
Practice Address - State:WI
Practice Address - Zip Code:53538-1233
Practice Address - Country:US
Practice Address - Phone:713-500-5666
Practice Address - Fax:713-500-5800
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8401720208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics