Leah Fowler

NPI #1235582784 in Inkster, Michigan

Provider Information

NPI Number: 1235582784
Entity Type: Individual
Name: Leah Fowler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 20, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 4178 ISABELLE ST
City: Inkster
State: Michigan
ZIP Code: 48141-2118
Phone: (313) 784-6519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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