Individual
JOSEPH F FOWLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S 2ND ST, LOUISVILLE, KY 40202-2862
(502) 583-7546
(502) 589-3429
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(866) 630-9882
(920) 682-5810
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1030824
IN
207N00000X
Dermatology Physician
21622
KY
Other
Enumeration date
06/02/2005
Last updated
12/17/2014
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