Individual
LISA MARIE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 993-4021
(313) 993-4089
Mailing address
2120 TIMBER RIDGE CT, HIGHLAND, MI 48357-4310
(248) 685-0383
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704265378
MI
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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