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Individual

JONATHAN A ROWE

Active
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Individual

JONATHAN A ROWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301073718
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0830166
IBA/PHP
MI
01
120412
GREAT LAKES HEALTH PLAN
MI
01
135840000
DEPARTMENT OF LABOR
MI
01
180036772
RAILROAD MEDICARE
MI
01
180C911240
BCBSM
MI
01
383309299006
TRICARE
MI
01
383309299069
COMMUNITY CHOICE
MI
05
4113129
MI
01
5141688
AETNA
MI
Enumeration date
05/09/2006
Last updated
05/19/2008
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