DR. Gary J Fowle, OD

NPI #1427020023 in Rockford, Michigan

Provider Information

NPI Number: 1427020023
Entity Type: Individual
Name: DR. Gary J Fowle, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 7, 2006
Last Updated: Sep 26, 2016

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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