Individual
DR. BENJAMIN JAMES FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
15 LOWELL ST, PORTLAND, ME 04102-2792
(207) 774-8277
(207) 871-1415
Mailing address
1315 EBERHARDT CT, MADISON, WI 53715-1633
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
75332-20
WI
207W00000X
Ophthalmology Physician
Primary
MD26618
MD
Other
Enumeration date
03/27/2017
Last updated
08/02/2023
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