TAYLOR DRUG REHAB CENTER PC
Osteopathic Medicine at Telegraph Rd, Taylor, MI

License number
Michigan 4301045243
Category
Osteopathic Medicine
Type
Family Medicine
License number
Michigan 4301045243
Category
Osteopathic Medicine
Type
Addiction Medicine
Owner
Name: DR. CARL FOWLER M.D.
Title: MEDICAL DOCTOR
Phone: (313) 299-0467
Address
Address
7700 Telegraph Rd, Taylor, MI 48180
National Provider ID: 1386974335
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TAYLOR DRUG REHAB CENTER, PC

Taylor, MI

Status:
Inactive
Doing business as:
TAYLOR DRUG REHAB CENTER MICHIGAN, PC
Registration:
Oct 5, 2011
Addresses:
7700 Telegraph Rd, Taylor, MI 48180 (Physical)
Michigan (Mailing)
State ID:
04183T
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2014
Agent:
Coral D Fowler

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