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Individual

MICHAEL D ROWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 37620-7430
(423) 844-6620
(423) 844-6627
Mailing address
1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 37620-7430
(423) 844-6620
(423) 844-6627

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21585
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0126098
BCBS OF TENNESSEE
TN
01
022276800
BLACK LUNG GROUP
TN
01
0636398
UMWA GROUP
TN
01
064486
INDIV ANTHEM/GROUP#093410
TN
05
3063419
TN
01
4545625
AETNA
TN
05
7366345
VA
01
770001281
MCRAILROAD/GROUP #CA8128
TN
01
F03906748
CHAMPUS GROUP
TN
01
TN0103
JOHN DEERE NOW UNITED HC
TN
Enumeration date
09/13/2006
Last updated
09/27/2021
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