MEDICARE: DR. ELIZABETH ELLINGWOOD ROWE 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	76433	MN

General Provider Information

NPI Number	:	1720513880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH ELLINGWOOD ROWE D.O.

Provider Business Mailing Address
First Line	:	4647 ALDRICH AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55412-1422
Country	:	US
Telephone Number	:	417-350-3235
Fax Number	:

Provider Business Practice Location Address
First Line	:	4647 ALDRICH AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55412-1422
Country	:	US
Telephone Number	:	417-350-3235
Fax Number	:

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

Provider Enumeration Date	:	04/26/2017
Last Update Date	:	04/15/2026

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