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Dr. Mariecken Fowler, MD
Neurology Physician in Fort Myers, Florida
NPI 1548200116

Mariecken Fowler is a Neurology Physician based in Fort Myers, FL and is specialized in Neurology. Mariecken Fowler practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Mariecken Fowler is 1548200116 and holds a License No. 2020035640 (Florida).

The current practice location address for Mariecken Fowler is 11215 Metro Pkwy Ste 1, Fort Myers, FL and can be reached out via phone at 239-208-2212.

Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL, 33966-1206
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Provider Profile Details
NPI Number
1548200116
Provider Name
Mariecken Fowler
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11215 Metro Pkwy Ste 1, Fort Myers, FL, 33966-1206
Phone Number
239-208-2212
Fax Number
Provider Enumeration Date
06/08/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
196654 01 VA ANTHEM BCBS
P00349159 01 VA RAILROAD MEDICARE
010214851 05 VA
001854467 01 VA MOUNTAIN STATE BCBS
institution
Provider Business Practice Location Address Details
Address
11215 Metro Pkwy Ste 1
City
State
Zip
33966-1206
Phone Number
239-208-2212
Fax Number
person
Provider Business Mailing Address Details
Address
11215 Metro Pkwy Ste 1
City
State
Zip
33966-1206
Phone Number
239-208-2212
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Behavioral Neurology & Neuropsychiatry
Taxonomy
License No.
0101238278 (Virginia)
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Diagnostic Neuroimaging
Taxonomy
License No.
MD473597 (Pennsylvania)
Definition
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
2020035640 (Missouri)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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