Individual
DR. MICHELLE NICOLE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1300
(845) 333-1296
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1300
(845) 333-1296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
264493
NY
Other
Enumeration date
08/30/2011
Last updated
07/30/2012
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