Individual
MRS. GERI LYN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, QIDP, QMHP
Contact information
Practice address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 362-8636
(989) 362-7800
Mailing address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 362-8636
(989) 362-7800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704306184
MI
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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