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Individual

JONATHON MICHAEL FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-9371
IA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
63255
MN
2083X0100X
Occupational Medicine Physician
41199
IA

Other

Enumeration date
04/27/2012
Last updated
08/15/2021
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