NORTHWEST INDUSTRIAL AND MEDICAL SERVICES PC
Marriage and Family Therapists at Dexter Ave, Detroit, MI

License number
Michigan CF045243
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: CARL DENNIS FOWLER M.D.
Title: OWNER PRESIDENT
Phone: (313) 894-7881
Address
Address
9600 Dexter Ave, Detroit, MI 48206
National Provider ID: 1346364619
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTHWEST INDUSTRIAL AND MEDICAL SERVICES, PC

Detroit, MI

Registration:
Aug 4, 1995
Addresses:
9600 Dexter, Detroit, MI 48206 (Physical)
Michigan (Mailing)
State ID:
318828
Business type:
Domestic Professional Service Corporation
Agent:
Carl D Fowler

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