MEDICARE: DR. DANIEL ALAN ROHWEDER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	43869	CO

General Provider Information

NPI Number	:	1508958729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ALAN ROHWEDER D.O.

Provider Business Mailing Address
First Line	:	7621 AUSTIN BLUFFS PKWY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-2906
Country	:	US
Telephone Number	:	719-282-6337
Fax Number	:	719-282-0532

Provider Business Practice Location Address
First Line	:	7621 AUSTIN BLUFFS PKWY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-2906
Country	:	US
Telephone Number	:	719-282-6337
Fax Number	:	719-282-0532

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	04/22/2010

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