MEDICARE: DAVID S ROWE M.D.

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	207Y00000X	Otolaryngology Physician	20591-020	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679594162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID S ROWE M.D.

Provider Business Mailing Address
First Line	:	512 WILCOX ST
Second Line	:
City	:	FORT ATKINSON
State	:	WI
Zip	:	53538-1254
Country	:	US
Telephone Number	:	920-563-6667
Fax Number	:	920-563-0145

Provider Business Practice Location Address
First Line	:	512 WILCOX ST
Second Line	:
City	:	FORT ATKINSON
State	:	WI
Zip	:	53538-1254
Country	:	US
Telephone Number	:	920-563-6667
Fax Number	:	920-563-0145

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	03/07/2023

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Directions to “ DAVID S ROWE M.D.” Practice Location

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