Provider Demographics
NPI:1619968856
Name:FIELD, E MALCOLM (MD)
Entity Type:Individual
Prefix:DR
First Name:E
Middle Name:MALCOLM
Last Name:FIELD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4677 TOWNE CENTRE RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2846
Mailing Address - Country:US
Mailing Address - Phone:855-298-9888
Mailing Address - Fax:989-497-3128
Practice Address - Street 1:4677 TOWNE CENTRE RD
Practice Address - Street 2:SUITE 301
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2846
Practice Address - Country:US
Practice Address - Phone:855-298-9888
Practice Address - Fax:989-497-2138
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2021-04-06
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Provider Licenses
StateLicense IDTaxonomies
MI4301022285207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2033412Medicaid
MI2033412Medicaid
MIMI6812002Medicare PIN