MR. CARL FOWLER MD NPI 1417989476

NPI Information

  • NPI: 1417989476
  • Provider Name: MR. CARL FOWLER, MD
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Individual
  • Address: 1305 N OAKLAND BLVD
    ER DEPARTMENT
    WATERFORD, MI
    ZIP 48327
  • Phone: (248) 666-9000

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NPI Details

MR. Carl Fowler, MD is an emergency medical services emergency medicine in Waterford, MI. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. MR. Carl Fowler, MD NPI is 1417989476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1305 N OAKLAND BLVD
ER DEPARTMENT
WATERFORD, MI
ZIP 48327
Phone: (248) 666-9000

The enumeration date for this NPI number is 7/7/2006 and was last updated on 5/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical ServicesCF045243MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CF045243OTHERMICHIGANBCBS
2104195483MEDICAIDMICHIGAN
3930089934MEDICARE PINMICHIGAN
4E39762MEDICARE UPIN
50M92460014MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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