Douglas R Fownes, MD Valid NPI

Individual provider · Family Medicine Physician · North Fond Du Lac, WI

NPI

1487645966

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

21386 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2005-11-02

Last updated

2016-03-03