MR. Fredrick Mark Owsley, M.D.
NPI #1265413017 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1265413017
- Entity Type
- Individual
- Name
- MR. Fredrick Mark Owsley, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Nov 9, 2005
- Last Updated
- Sep 16, 2015
Practice Location
- Address
- 980 W IRONWOOD DR
- Address 2
- STE 206
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2668
- Phone
- (208) 664-0165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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