Individual
HEATHER FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1846 WILLOW LN, MACUNGIE, PA 18062-9788
(717) 744-5441
Mailing address
1846 WILLOW LN, MACUNGIE, PA 18062-9788
(717) 744-5441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008775L
PA
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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