Individual
DOUGLAS WILLIAM FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2000 GREEN RD., SUITE 100, ANN ARBOR, MI 48105
(734) 995-3764
(208) 475-9028
Mailing address
2000 GREEN RD., SUITE 100, ANN ARBOR, MI 48105
(734) 995-3764
(208) 475-9028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
47040206265
MI
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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