Individual
DR. GRACE ELAINE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
626 PRAIRE STREET, VINCENNES, IN 47591-1060
(812) 882-5524
(812) 882-5525
Mailing address
PO BOX 30, VINCENNES, IN 47591-0030
(812) 882-5524
(812) 882-5525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02003008A
IN
208000000X
Pediatrics Physician
02003008A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200391740A
—
IN
Enumeration date
08/25/2006
Last updated
03/19/2009
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