Provider Demographics
NPI:1255699278
Name:FIELDS, JONATHON MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:JONATHON
Middle Name:MICHAEL
Last Name:FIELDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 265TH ST
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50647-9759
Mailing Address - Country:US
Mailing Address - Phone:507-261-0556
Mailing Address - Fax:319-575-6029
Practice Address - Street 1:210 9TH ST SE STE 1
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-6400
Practice Address - Country:US
Practice Address - Phone:507-292-7144
Practice Address - Fax:507-292-7069
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2021-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA411992083X0100X
MN632552083P0500X
IAR-9371207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine