Individual
MAIRE ELIZABETH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3405 NW HUNTERS RIDGE TER, SUITE 100, TOPEKA, KS 66618-2509
(785) 246-3733
Mailing address
3405 NW HUNTERS RIDGE TER, SUITE 100, TOPEKA, KS 66618-2509
(785) 246-3733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05-32672
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200531070A
—
KS
Enumeration date
05/01/2007
Last updated
02/18/2014
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