DR. Andrew Fowle, O.D.

NPI #1215343124 in Rockford, Michigan

Provider Information

NPI Number: 1215343124
Entity Type: Individual
Name: DR. Andrew Fowle, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 11, 2014
Last Updated: Jul 11, 2014

Practice Location

Address: 120 MARCELL DR NE
Address 2: SUITE A
City: Rockford
State: Michigan
ZIP Code: 49341-1362
Phone: (616) 866-0140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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