Individual
DR. GREGORY R. ROUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2025 STEARNS WAY, #105, SAINT CLOUD, MN 56303-4491
(320) 252-2963
(320) 252-4206
Mailing address
2025 STEARNS WAY, #105, SAINT CLOUD, MN 56303-4491
(320) 252-2963
(320) 252-4206
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
486
MN
213ES0131X
Foot Surgery Podiatrist
486
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024325600
—
MN
Enumeration date
11/07/2005
Last updated
10/23/2018
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