Individual
ELIZABETH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 MONCLOVA RD, MAUMEE, OH 43537-1855
(419) 897-8370
Mailing address
5901 MONCLOVA RD, MAUMEE, OH 43537-1855
(419) 897-8370
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H09976
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167006
—
OH
Enumeration date
02/08/2006
Last updated
02/26/2008
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