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Individual

ASHLEY FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
21540 W 11 MILE RD # 200, SOUTHFIELD, MI 48076-3843
(248) 352-2000
(248) 352-0772
Mailing address
PO BOX 1239, TROY, MI 48099-1239

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704271797
MI

Other

Enumeration date
03/19/2015
Last updated
04/17/2015
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