Provider Demographics
NPI:1790482487
Name:ROSSOW, DAWN
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:ROSSOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 1ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:ND
Mailing Address - Zip Code:58581-4109
Mailing Address - Country:US
Mailing Address - Phone:701-527-7168
Mailing Address - Fax:
Practice Address - Street 1:308 1ST AVE SE
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:ND
Practice Address - Zip Code:58581-4109
Practice Address - Country:US
Practice Address - Phone:701-527-7168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health