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NPI Code Detail

MEDICARE: BRUCE H FIELD MD

MEDICARE:   BRUCE H FIELD  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35654MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023084076
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE H FIELD MD
Provider Business Mailing Address
First Line : 7766 HIGHWAY 65 NE
Second Line :
City : SPRING LAKE PARK
State : MN
Zip : 55432-2832
Country : US
Telephone Number : 651-357-0491
Fax Number : 952-883-5395
Provider Business Practice Location Address
First Line : 7766 HIGHWAY 65 NE
Second Line :
City : SPRING LAKE PARK
State : MN
Zip : 55432-2832
Country : US
Telephone Number : 763-205-4843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 12/05/2023

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Directions to “ BRUCE H FIELD MD” Practice Location

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