Individual
CORY A FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
225 CHURCH ST, DEAN MEDICAL CENTER, STOUGHTON, WI 53589-1801
(608) 877-2700
(608) 877-2726
Mailing address
225 CHURCH ST, DEAN MEDICAL CENTER, STOUGHTON, WI 53589-1801
(608) 877-2700
(608) 877-2726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2943-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043276348
—
WI
Enumeration date
04/25/2006
Last updated
11/12/2020
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