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NPI Code Detail

MEDICARE: JONATHON MICHAEL FIELDS M.D.

MEDICARE: JONATHON MICHAEL FIELDS M.D.
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
12083X0100XOccupational Medicine Physician41199IA
22083P0500XPreventive Medicine/Occupational Environmental Medicine Physician63255MN
3207R00000XInternal Medicine PhysicianR-9371IA

General Provider Information

NPI Number : 1255699278
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHON MICHAEL FIELDS M.D.
Provider Business Mailing Address
First Line : 1266 265TH ST
Second Line :
City : JANESVILLE
State : IA
Zip : 50647-9759
Country : US
Telephone Number : 507-261-0556
Fax Number : 319-575-6029
Provider Business Practice Location Address
First Line : 210 9TH ST SE STE 1
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-6400
Country : US
Telephone Number : 507-292-7144
Fax Number : 507-292-7069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2012
Last Update Date : 08/15/2021

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