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Individual

DR. WILEY LELAND FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8 MEDICAL PLAZA DR STE 300, ROSEVILLE, CA 95661-3107
(916) 782-5106
(916) 878-4941
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
A100547
CA

Other

Enumeration date
04/07/2007
Last updated
05/14/2026
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