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Dr. Evan Alsbury Fowler, DO
Student in an Organized Health Care Education/Training Program in Perrysburg, Ohio
NPI 1689369019

Evan Alsbury Fowler is a Student in an Organized Health Care Education/Training Program based in Douglasville, OH. Evan Alsbury Fowler practices in Perrysburg, OH and has the professional credentials of DO. The NPI Number for Evan Alsbury Fowler is 1689369019 and holds a License No. 58.033581 (Ohio).

The current practice location address for Evan Alsbury Fowler is 7045 Lighthouse Way, Perrysburg, OH and can be reached out via phone at 419-794-9292.

Location: 7045 Lighthouse Way, Perrysburg, OH, 30135-2689
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689369019
Provider Name
Evan Alsbury Fowler
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
7045 Lighthouse Way, Perrysburg, OH, 30135-2689
Phone Number
419-794-9292
Fax Number
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7045 Lighthouse Way
City
Perrysburg
State
Ohio
Zip
43551-7000
Phone Number
419-794-9292
Fax Number
person
Provider Business Mailing Address Details
Address
7045 Lighthouse Way
City
Perrysburg
State
Ohio
Zip
43551-7000
Phone Number
419-794-9292
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
58.033581 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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