BRENDEN MICHAEL LEE FOWLER

APO, AE
NPI1699394171
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
BRENDEN MICHAEL LEE FOWLER IDMT
86TH MEDICAL GROUP UNIT 3215
APO, AE 09094
Phone number: 405-388-9873
Mailing Address
BRENDEN MICHAEL LEE FOWLER IDMT
PSC 2 BOX 8336
APO, AE 09012-0084
Phone number: 405-388-9873