Individual
JAMES FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 JOHN ST, SUITE M273, KALAMAZOO, MI 49007-5341
(269) 381-0180
(269) 381-7347
Mailing address
60311 M 43, SUITE M273, BANGOR, MI 49013-9617
(269) 214-6911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003451
MI
Other
Enumeration date
07/18/2006
Last updated
06/06/2016
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