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NPI Profile for Dr SUSAN M FOWELL in ROCKFORD, IL.
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Retina Specialist |
207WX0107X | 18 | Physician/Ophthalmology | |
Ophthalmology |
207W00000X | 18 | Physician/Ophthalmology |
| NPI Number | 1821091075 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/23/2005 | |
| Last updated | 07/06/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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SUSAN M FOWELL
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SUSAN M FOWELL, MD