SUSAN M FOWELL

ROCKFORD, IL
NPI1821091075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207WX0107X Ophthalmology, Retina Specialist
(Licence: IL  036073359)
Additional Taxonomies207W00000X Ophthalmology
(Licence: IL  036073359)
Enumeration Date2005-05-23
Last Update Date2017-07-06
Business Address
Dr. SUSAN M FOWELL MD
1235 N MULFORD RD SUITE 100
ROCKFORD, IL 61107-3879
Phone number: 815-226-4990
Mailing Address
Dr. SUSAN M FOWELL MD
1235 N MULFORD RD SUITE 100
ROCKFORD, IL 61107-3879
Phone number: 815-226-4990