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Gwendolyn Fields
Family Nurse Practitioner in Southgate, Michigan
NPI 1992390157

Gwendolyn Fields is a Family Nurse Practitioner based in Detroit, MI and is specialized in Family. Gwendolyn Fields practices in Southgate, MI. The NPI Number for Gwendolyn Fields is 1992390157 and holds a License No. 4704241900 (Michigan).

The current practice location address for Gwendolyn Fields is 14799 Dix Toledo Rd, Southgate, MI and can be reached out via phone at 734-324-8326.

Location: 14799 Dix Toledo Rd, Southgate, MI, 48224-0754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992390157
Provider Name
Gwendolyn Fields
Credential
Provider Entity Type
Individual
Gender
Female
Address
14799 Dix Toledo Rd, Southgate, MI, 48224-0754
Phone Number
734-324-8326
Fax Number
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14799 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2507
Phone Number
734-324-8326
Fax Number
person
Provider Business Mailing Address Details
Address
14799 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2507
Phone Number
734-324-8326
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704241900 (Michigan)
Definition
Definition to come...
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