Individual
MRS. ELIZABETH ANNE FIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10222 74TH STREET, SUITE 200, KENOSHA, WI 53142-6800
(262) 697-9200
(262) 697-9206
Mailing address
10222 74TH STREET, SUITE 200, KENOSHA, WI 53142-6800
(262) 697-9200
(262) 697-9206
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46283-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34485800
—
WI
Enumeration date
09/22/2005
Last updated
04/08/2009
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