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Individual

DR. WILLIAM E FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1684 S CHURCH ST, WATERTOWN, WI 53094-6406
(877) 337-6747
(877) 767-1005
Mailing address
4863 ENCHANTED VALLEY RD, MIDDLETON, WI 53562-4118
(877) 337-6747
(877) 767-1005

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
33498
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31830900
WI
Enumeration date
02/02/2006
Last updated
04/05/2010
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