Provider Demographics
NPI:1669433405
Name:ROWAN, DARREN MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:MICHAEL
Last Name:ROWAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1851 N MCKENZIE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-4700
Mailing Address - Country:US
Mailing Address - Phone:251-424-1620
Mailing Address - Fax:251-424-1621
Practice Address - Street 1:1851 N. MCKENZIE STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535
Practice Address - Country:US
Practice Address - Phone:251-424-1620
Practice Address - Fax:251-424-1621
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.019953208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E20858Medicare UPIN
LA4E552Medicare ID - Type Unspecified