Organization
JOHN R FOW III DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R FOW III D.O. (PRESIDENT)
(586) 739-4779
Entity
Organization
Contact information
Practice address
48155 LIBERTY DR, SHELBY TOWNSHIP, MI 48315-4061
(586) 739-4779
Mailing address
48155 LIBERTY DR, SHELBY TOWNSHIP, MI 48315-4061
(586) 739-4779
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5101005649
MI
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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