Individual
CHERYL FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
523 FONTENELLE ST SE, GRAND RAPIDS, MI 49548-7316
(616) 481-9099
Mailing address
560 SEMINOLE RD, NORTON SHORES, MI 49444-3720
(231) 733-8686
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704272277
MI
Other
Enumeration date
09/05/2019
Last updated
09/27/2020
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