Individual
MARY C FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1000
Mailing address
8170 33RD AVE S, P.O. BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 993-1000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47631
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34615900
—
WI
Enumeration date
06/16/2005
Last updated
02/12/2016
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