Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 4301072252 | MI |
NPI | 1578524021 |
---|---|
Provider Name | Jayson Field |
First Address | East Lansing, MI 48824-7015 |
Second Address | East Lansing, MI 48823-5383 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 20/07/2021 |