Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35-090312 | OH |
Y | 208600000X | Surgeon | 35-090312 | OH |
N | 208200000X | Surgeon | 45597-020 | WI |
N | 208600000X | Surgeon | 45597-020 | WI |
NPI | 1003997123 |
---|---|
Provider Name | David Rowe |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 27/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000233299 | UNISON (01) | OH |
000000550665 | ANTHEM (01) | OH |
2793106 | (05) | OH |
9390103 | AETNA (01) | OH |
P00454371 | RAILROAD MEDICARE (01) | OH |