Provider Demographics
NPI:1982633483
Name:ROWLAND, MICHAEL TODD (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:TODD
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 POND PARK RD.
Mailing Address - Street 2:STE. 102
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4309
Mailing Address - Country:US
Mailing Address - Phone:781-337-5555
Mailing Address - Fax:781-331-0300
Practice Address - Street 1:2 POND PARK RD.
Practice Address - Street 2:STE. 102
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4309
Practice Address - Country:US
Practice Address - Phone:781-337-5555
Practice Address - Fax:781-331-0300
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207747207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042297845OtherGREAT WEST HEALTH CARE
042297845OtherTRICARE
042297845OtherUNITED HEALTH CARE
B21027201OtherCIGNA
042297845OtherDOC FIRST
132525OtherFALLON
207747OtherTUFTS HEALTH CARE
MA0108791Medicaid
042297845OtherGIC/UNICARE
7935328OtherAETNA
J22730/SS0019OtherBCBSMA
042297845OtherHCVM/FIRST HEALTH/COVENTY
0020872OtherNHP
207747OtherTUFTS MEDICARE PREFERRED
207747OtherTUFTS MEDICARE PREFERRED
MAA31317Medicare PIN