Individual
MIKE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
837 WINSLOW CT, NORTON SHORES, MI 49441-4660
(231) 760-9343
Mailing address
837 WINSLOW CT, NORTON SHORES, MI 49441-4660
(231) 760-9343
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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