Individual
JEANNE LOUISE FIELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
404 HAZEN ST, PAW PAW, MI 49079-0178
(269) 657-2550
(269) 657-2285
Mailing address
PO BOX 178, PAW PAW, MI 49079-0178
(269) 657-2550
(269) 657-2285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001350
MI
Other
Enumeration date
11/29/2005
Last updated
03/07/2023
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