Marc A Fowler (NPI# 1497732069, PAC ID# 1254463557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497732069 |
| PAC ID by PECOS | 1254463557 |
| Professional Enrollment ID | I20100722000539 |
| Full Name | Marc A Fowler |
| Organization Legal Name | GRAND ITASCA CLINIC AND HOSPITAL |
| Address |
111 Se 3rd St Grand Rapids MN 55744-3663 |
| Phone Number | 2183263401 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8123939550 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240064 | GRAND ITASCA CLINIC AND HOSPITAL |
| 241360 | DEER RIVER HEALTHCARE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 111 Se 3rd St, Grand Rapids, MN 55744-3663 | 2183263401 | GRAND ITASCA CLINIC AND HOSPITAL |
| 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | 2183263401 | GRAND ITASCA CLINIC AND HOSPITAL |
| Organization Legal Name | GRAND ITASCA CLINIC AND HOSPITAL |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke A Schumacher | Certified Registered Nurse Anesthetist (crna) | Grand Itasca Clinic and Hospital | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 |
| Patricia C Carlin-janssen | Family Medicine | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Scott W Johnson | Obstetrics/gynecology | Grand Itasca Clinic and Hospital | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 |
| Stephanie Rae Harnack | Nurse Practitioner | Grand Itasca Clinic and Hospital | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 |
| Anne E Tofte | Family Medicine | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Danielle C Smestad | Nurse Practitioner | Grand Itasca Clinic and Hospital | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 |
| David R Perez-lauterbach | Emergency Medicine | Grand Itasca Clinic and Hospital | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 |
| Kathryn L Johnson | Obstetrics/gynecology | Grand Itasca Clinic and Hospital | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 |
| Josey A Varberg | Certified Registered Nurse Anesthetist (crna) | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Sara J Bruemmer | Nurse Practitioner | Grand Itasca Clinic and Hospital | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 |
| Street Address |
111 SE 3RD ST |
| City | GRAND RAPIDS |
| State | MN |
| Zip | 55744-3663 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia C Carlin-janssen | Family Medicine | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Anne E Tofte | Family Medicine | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Josey A Varberg | Certified Registered Nurse Anesthetist (crna) | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Linnea K Soular | Chiropractic | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Jodie K Carey | Nurse Practitioner | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Timothy J Pehl | Family Medicine | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Michael B Liebe | Family Medicine | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Suzanne L Aldrich | Nurse Practitioner | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Julia L Statsman | Nurse Practitioner | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Jack V Carlisle | Family Medicine | Grand Itasca Clinic and Hospital | 111 Se 3rd St, Grand Rapids, MN 55744-3663 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin M Heglund | Psychologist, Clinical | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Amy M Mallum | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathryn J Faver | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Eric R Nance | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathleen A Rubesh | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Jennifer C Sheppard | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Donald M Farnsworth Jr. | Clinical Psychologist | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lisa Jo Corradi | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lane N Gunnerson | Chiropractic | 1325 Nw 4th St, Suite 200, Grand Rapids, MN 55744-2270 | |
| Gary D Wheelock | Chiropractic | 605 Nw 4th St, Grand Rapids, MN 55744-2301 | |
| Find all physicians in zip 55744 | |||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GRAND RAPIDS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Marc A Fowler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.