Most Relevant Information
Provider Data
| NPI Number: | 1003665498 |
| Provider Name: | COURTNEY FIELDS |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2024 |
| Last Updated: | 05/16/2024 |
Provider Practice Location
2211 RIVERSIDE AVE
CAMPUS BOX 149
MINNEAPOLIS
MN
55454
Practice Location Phone/Fax
| Phone: | 6123301388 |
| Fax: |
Provider Mailing Location
2425 30TH AVE S APT 2
MINNEAPOLIS
MN
554062986
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |