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Individual

WARREN BRADLEY FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30701 WOODWARD AVE STE 200, ROYAL OAK, MI 48073-0990
(248) 548-2114
(248) 548-2135
Mailing address
30701 WOODWARD AVE STE 200, ROYAL OAK, MI 48073-0990
(248) 548-2114
(248) 548-2135

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036121035
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301076558
MI
207RP1001X
Pulmonary Disease Physician
036121035
IL
207RP1001X
Pulmonary Disease Physician
Primary
4301076558
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036121035
IL
01
P00707900
MEDICARE RAILROAD
IL
Enumeration date
03/30/2007
Last updated
09/12/2024
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