Individual
TANYA M ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12273 FARRAND RD, MONTROSE, MI 48457-9705
(810) 639-6578
Mailing address
12273 FARRAND RD, MONTROSE, MI 48457-9705
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188823
—
MI
05
—
188824
—
MI
Enumeration date
10/14/2008
Last updated
12/01/2017
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