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Individual

MICHAEL T FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 W A ST STE 101, MOSCOW, ID 83843-6000
(208) 882-2011
(208) 883-1853
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 882-4511
(208) 883-6580

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-14832
ID
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/11/2018
Last updated
07/19/2024
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