Healthcare Provider Details

I. General information

NPI: 1104948702
Provider Name (Legal Business Name): MARK ROWAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 BLYMIRE RD
DALLASTOWN PA
17313-9220
US

IV. Provider business mailing address

1010 BLYMIRE RD
DALLASTOWN PA
17313-9220
US

V. Phone/Fax

Practice location:
  • Phone: 717-244-4531
  • Fax: 717-246-8573
Mailing address:
  • Phone: 717-244-4531
  • Fax: 717-246-8573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD4386558
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: