Individual provider · Type 1 NPI
Susan M. Fowell, MD
Retina Specialist (Ophthalmology) Physician · Rockford, IL
NPI number
1821091075
Active
Practice location
1235 N Mulford Rd, Suite 100
Rockford, IL 61107-3879
Fax (815) 226-9472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | 036073359 (IL) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | 036073359 (IL) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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About NPI 1821091075
Susan M. Fowell, MD's National Provider Identifier is 1821091075, issued on May 23, 2005. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Rockford, IL. The record was last updated on Jul 6, 2017.