Individual
DANIEL PETER FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9111 CROSS PARK DR STE D200, KNOXVILLE, TN 37923-4521
(865) 470-4127
(833) 790-3693
Mailing address
1558 KENESAW AVE, KNOXVILLE, TN 37919-7861
(865) 308-2255
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
51508
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q008038
—
TN
Enumeration date
06/19/2008
Last updated
04/02/2018
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