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Organization

PHYSICAL MEDICINE REHABILITATION INDEPENDENT SERVICES, SC

Active
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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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