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Individual

ANDREW S FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
13610 W MAPLE ST, WICHITA, KS 67235-8776
(316) 773-4500
(316) 689-9769
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05-28418
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100412640 A
KS
Enumeration date
05/25/2006
Last updated
09/20/2013
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