MARC A FOWLER

GRAND ITASCA CLINIC AND HOSPITAL

Dr MARC A FOWLER is a male medical professional, specializing in Internal Medicine. He graduated in 1987 from University Of Minnesota Medical School.

Contact

GRAND ITASCA CLINIC AND HOSPITAL

111 SE 3RD ST
GRAND RAPIDS
MN
557443663

Tel: 2183263401

MARC A FOWLER Information

Npi 1497732069
Pac Id 1254463557
Professional Enrollment Id I20100722000539
Last Name FOWLER
First Name MARC
Middle Name A
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1987
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GRAND ITASCA CLINIC AND HOSPITAL
Group Practice Pac Id 8123939550
Number Of Group Practice Members 74
Line 1 Street Address 111 SE 3RD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GRAND RAPIDS
State MN
Zip Code 557443663
Phone Number 2183263401
Hospital Affiliation Ccn 1 240064
Hospital Affiliation Lbn 1 GRAND ITASCA CLINIC AND HOSPITAL
Hospital Affiliation Ccn 2 241360
Hospital Affiliation Lbn 2 DEER RIVER HEALTHCARE CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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