Organization
PHYSICAL MEDICINE REHABILITATION INDEPENDENT SERVICES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E FOWLER MD (PRESIDENT)
(608) 843-5074
Entity
Organization
Contact information
Practice address
4863 ENCHANTED VALLEY RD, MIDDLETON, WI 53562-4118
(608) 843-5074
Mailing address
4863 ENCHANTED VALLEY RD, MIDDLETON, WI 53562-4118
(608) 843-5074
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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