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Individual

MARY GLENN FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 N WOLFE ST DEPT 443, BALTIMORE, MD 21287-0005
(410) 502-3011
Mailing address
307 S WOLFE ST, BALTIMORE, MD 21231-2531
(443) 835-5860

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D36335
MD

Other

Enumeration date
01/26/2021
Last updated
01/26/2021
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