Individual
DR. MARIECKEN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
11215 METRO PKWY BLDG 3, FORT MYERS, FL 33966-1206
(239) 208-2212
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
0101238278
VA
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
0101238278
VA
2084N0400X
Neurology Physician
0101238278
VA
2084N0400X
Neurology Physician
2020035640
MO
2084N0400X
Neurology Physician
20637
NH
2084N0400X
Neurology Physician
MD473597
PA
2084N0400X
Neurology Physician
Primary
ME146337
FL
2084N0400X
Neurology Physician
S9132
TX
208M00000X
Hospitalist Physician
ME146337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001854467
MOUNTAIN STATE BCBS
VA
05
—
010214851
—
VA
01
—
196654
ANTHEM BCBS
VA
01
—
P00349159
RAILROAD MEDICARE
VA
Enumeration date
06/08/2006
Last updated
06/13/2025
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