Provider Demographics
NPI:1184684847
Name:ROWE, MICHAEL S (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:ROWE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:24120 MEADOWBROOK RD
Mailing Address - Street 2:STE 201
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-3407
Mailing Address - Country:US
Mailing Address - Phone:248-473-6400
Mailing Address - Fax:248-473-4424
Practice Address - Street 1:24120 MEADOWBROOK RD
Practice Address - Street 2:STE 201
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-3407
Practice Address - Country:US
Practice Address - Phone:248-473-6400
Practice Address - Fax:248-473-4424
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2012-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301042428207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0M08740Medicare ID - Type Unspecified
F97551Medicare UPIN