Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elmer William Fowler Jr., DOPL

Individual provider Psychiatry Physician · NPI 1760581524

Elmer William Fowler Jr., DOPL is a Psychiatry in Grand Rapids, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1978, 48 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
48
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

3351 Claystone St SE Ste 212
Grand Rapids, MI 49546-5781
Phone: (616) 954-1991
Fax: (616) 954-1998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 5101007546 (MI)

Record details

NPI number1760581524
Entity typeIndividual (Type 1)
GenderMale
Credentials DOPL
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1978 (48 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Rapids