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Individual

DR. STEPHEN MARTIN FOWLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6 WAY RD, MIDDLEFIELD, CT 06455-1080
(860) 349-7034
(860) 349-7093
Mailing address
6 WAY RD, MIDDLEFIELD, CT 06455-1080
(860) 349-7034
(860) 349-7093

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
001118
CT
111NN1001X
Nutrition Chiropractor
001118
CT
111NS0005X
Sports Physician Chiropractor
Primary
001118
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050001118CT01
BLUE SHIELD ID
CT
Enumeration date
09/21/2005
Last updated
09/11/2025
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