Individual
DR. WAYNE LEWIS FOWLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
14611 W 49TH ST, SHAWNEE, KS 66216-5162
(816) 861-4700
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
21544
KS
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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