Individual
JOSEPH F FOWLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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