Provider Demographics
NPI:1053314708
Name:ROWE, DAN E (MD)
Entity Type:Individual
Prefix:
First Name:DAN
Middle Name:E
Last Name:ROWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAN
Other - Middle Name:E
Other - Last Name:ROWE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1624 10TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4477
Mailing Address - Country:US
Mailing Address - Phone:775-782-0700
Mailing Address - Fax:775-782-0500
Practice Address - Street 1:1624 10TH ST STE 1
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4477
Practice Address - Country:US
Practice Address - Phone:775-782-0700
Practice Address - Fax:775-782-0500
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6825207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2016685Medicaid
NVF23380Medicare UPIN
NV2016685Medicaid