Basic Information
| Provider Information | |||||||||
| NPI: | 1124169099 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROWE | ||||||||
| FirstName: | DONENE | ||||||||
| MiddleName: | ADELE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1208 SCHILLER ST | ||||||||
| Address2: | |||||||||
| City: | WATERTOWN | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530982211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9201619409 | ||||||||
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| Practice Location | |||||||||
| Address1: | 710 STARIN RD | ||||||||
| Address2: | |||||||||
| City: | WHITEWATER | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531909973 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2624721300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 31379 | WI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.