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Individual

MARVIN DEAN FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
813 E MICHIGAN AVE, JACKSON, MI 49201-2401
(517) 787-6001
(517) 782-2062
Mailing address
DEPARTMENT 272801, PO BOX 67000, DETROIT, MI 48267-2728
(517) 841-6913
(517) 841-6917

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301030514
MI

Other

Enumeration date
05/05/2006
Last updated
11/27/2007
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