Provider Demographics
NPI:1336167147
Name:ROWANE, MICHAEL P (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:P
Last Name:ROWANE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:20800 HARVARD ROAD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HIGHLAND HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-358-2370
Mailing Address - Fax:216-201-4536
Practice Address - Street 1:27100 CHARDON ROAD
Practice Address - Street 2:STE 150
Practice Address - City:RICHMOND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143
Practice Address - Country:US
Practice Address - Phone:440-943-6350
Practice Address - Fax:440-347-0930
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2015-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34-005632207Q00000X
OH34.005632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000135260OtherANTHEM
OH0932610Medicaid
OH80044876OtherRAILROAD MEDICARE
OHRO0744211Medicare ID - Type Unspecified
OH0744213Medicare PIN
OH0932610Medicaid