Provider Demographics
NPI:1831311778
Name:MACFIELD, PETER SONJOY (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:SONJOY
Last Name:MACFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2460 BURTON ST SE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546
Mailing Address - Country:US
Mailing Address - Phone:616-805-3846
Mailing Address - Fax:616-551-1002
Practice Address - Street 1:2460 BURTON ST SE
Practice Address - Street 2:SUITE 300
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546
Practice Address - Country:US
Practice Address - Phone:616-805-3846
Practice Address - Fax:616-551-1002
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301082390207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine