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Individual

MICHAEL G ROWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8240 NAAB RD STE 100, INDIANAPOLIS, IN 46260
(317) 338-7450
(317) 338-7464
Mailing address
11541 E WINCHESTER LN, ELLICOTT CITY, MD 21042-2040
(833) 220-2685
(317) 947-0839

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01053890A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200320720
IN
01
231420XX
MEDICARE
IN
Enumeration date
06/26/2006
Last updated
08/03/2018
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