Individual
DR. ANDREW FOWLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
120 MARCELL DR NE, SUITE A, ROCKFORD, MI 49341-1362
(616) 866-0140
Mailing address
120 MARCELL DR NE, SUITE A, ROCKFORD, MI 49341-1362
(616) 866-0140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004839
MI
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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