Provider Demographics
NPI:1770563926
Name:FIELD, DAVID S (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:FIELD
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 1:4005 WESTMARK DR
Mailing Address - Street 2:STE 200
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2271
Mailing Address - Country:US
Mailing Address - Phone:563-582-6202
Mailing Address - Fax:563-582-5909
Practice Address - Street 1:4005 WESTMARK DR
Practice Address - Street 2:STE 200
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-2271
Practice Address - Country:US
Practice Address - Phone:563-582-6202
Practice Address - Fax:563-582-5909
Is Sole Proprietor?:No
Enumeration Date:2006-01-21
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21791174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA065175Medicaid
IA0493900001Medicare NSC
IAA01485Medicare UPIN
WI0493900002Medicare NSC
IL0493900002Medicare NSC
IA065175Medicaid