Healthcare Provider Details

I. General information

NPI: 1154064814
Provider Name (Legal Business Name): MACFIELD MD AND ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 04/19/2022
Certification Date: 04/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E CASS ST
GREENVILLE MI
48838-1905
US

IV. Provider business mailing address

123 E CASS ST
GREENVILLE MI
48838-1905
US

V. Phone/Fax

Practice location:
  • Phone: 616-225-8707
  • Fax:
Mailing address:
  • Phone: 616-225-8707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER MACFIELD
Title or Position: OWNER
Credential: MD
Phone: 616-295-5760