Mariecken Fowler in Fort Myers - Behavioral Neurology & Neuropsychiatry

Mariecken Fowler - NPI 1548200116

Mariecken Fowler is a Behavioral Neurology & Neuropsychiatry in Fort Myers, Florida. Mariecken Fowler practices all healthcare services and medical treatments related to Behavioral Neurology & Neuropsychiatry. The NPI Number for Mariecken Fowler is 1548200116. The last update date is 2023-08-29.

Mariecken Fowler's current location address is 11215 Metro Pkwy Bldg 3, Fort Myers, Florida. You can contact this provider via phone number 2392082212. The mailing address for Mariecken Fowler is 11215 Metro Pkwy Bldg 3, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mariecken Fowler
Address 11215 Metro Pkwy Bldg 3, Fort Myers, Florida
Phone Number 2392082212
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1548200116
Provider Enumeration Date 2006-06-08
Last Updated Date 2023-08-29

Provider Mailing Address Detail

Address 11215 Metro Pkwy Bldg 3
City Fort Myers
State Florida (FL)
Post Code 339661206
Phone Number 2392082212
Fax Number

Provider's Primary Taxonomy Detail

Speciality Behavioral Neurology & Neuropsychiatry
Taxonomy 2084B0040X
Licence No 101238278
Definition:
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
196654 VA ANTHEM BCBS
P00349159 VA RAILROAD MEDICARE
10214851 VA --
1854467 VA MOUNTAIN STATE BCBS

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FAQs about Mariecken Fowler

Could you share the physical location details of Mariecken Fowler?

The Mariecken Fowler is situated at 11215 Metro Pkwy Bldg 3, in the city of Fort Myers, state of FL, with the zip code 339661206.

What is Mariecken Fowler's area of expertise and its corresponding taxonomy classification?

The Mariecken Fowler's field of specialization is Behavioral Neurology & Neuropsychiatry, and it falls under the taxonomy code 2084B0040X, which categorizes healthcare providers based on their areas of practice.

What is Mariecken Fowler's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mariecken Fowler is Behavioral Neurology & Neuropsychiatry, and the taxonomy code that classifies this field of practice is 2084B0040X.

When did Mariecken Fowler receive its 1548200116 assignment?

The Mariecken Fowler was assigned its 1548200116 on 2006-06-08, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Mariecken Fowler last refreshed?

The information related to the Mariecken Fowler, including its address, specialty, and other relevant details, was last updated on 2023-08-29.

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