Individual
LARRY ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 458-3830
Mailing address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 458-3830
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01033902A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159750
—
IN
Enumeration date
06/26/2006
Last updated
09/23/2020
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