| Fowler Osteopathic Clinic P.c./lyons Clinic Of Family Medicine | |
| 
					11017 W. Third Street Box 19 Fowler MI 48835  | |
| (989) 593-2525 | |
| (989) 593-3385 | 
| Full Name | Fowler Osteopathic Clinic P.c./lyons Clinic Of Family Medicine | 
|---|---|
| Speciality | Family Medicine | 
| Location | 11017 W. Third Street, Fowler, Michigan | 
| Authorized Official Name and Position | Douglas W Poff (PHYSICIAN/OFFICER) | 
| Authorized Official Contact | 9895932525 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fowler Osteopathic Clinic P.c./lyons Clinic Of Family Medicine 11017 W. Third Street Box 19 Fowler MI 48835 Ph: (989) 593-2525  | Fowler Osteopathic Clinic P.c./lyons Clinic Of Family Medicine 11017 W. Third Street Box 19 Fowler MI 48835 Ph: (989) 593-2525  | 
| NPI Number | 1467407932 | 
|---|---|
| Provider Enumeration Date | 05/23/2006 | 
| Last Update Date | 06/11/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467407932 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
Sparrow Carson Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11017 W 3rd St, Fowler, MI 48835 Phone: 989-593-2525 Fax: 989-593-3385  |