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Contact Information

MCKINDRA FLETCHER JR, MD
610 N MICHIGAN ST STE 400
SOUTH BEND, IN46601-1081
 Phone: 574-647-8120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MCKINDRA FLETCHER JR · (Male)

NPI Number 1467448019
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2005
Last updated 12/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 01035215A
  • IN Medicaid 100193330
Hospital affiliation(s)
  • FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY - (Acute Care)
    301 W HOMER ST
    MICHIGAN CITY, IN 46360
  • INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL - (Acute Care)
    1007 LINCOLNWAY
    LA PORTE, IN 46350
  • INDIANA UNIVERSITY HEALTH STARKE HOSPITAL - (Acute Care)
    102 E CULVER RD
    KNOX, IN 46534
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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