Individual
MRS. ANDREA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
3541 LYNDALE AVE S, MINNEAPOLIS, MN 55408-4159
(612) 824-1829
Mailing address
5021 VERNON AVE S, SUITE 257, EDINA, MN 55436-2102
(952) 220-0113
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1638
MN
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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