Individual
MS. DEIRDRE VYVYAN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-NP
Contact information
Practice address
1710 S 7TH ST, MILWAUKEE, WI 53204-3538
(414) 645-8383
(414) 645-8803
Mailing address
3307 N BARTLETT AVE, MILWAUKEE, WI 53211-3025
(414) 332-3428
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
76688-030
WI
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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