1043361736 NPI number — DR. GITTA ROHWEDER M.D.

Table of content: DR. GITTA ROHWEDER M.D. (NPI 1043361736)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043361736 NPI number — DR. GITTA ROHWEDER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROHWEDER
Provider First Name:
GITTA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043361736
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ROALD AMUNDSENS VEI 39
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRONDHEIM
Provider Business Mailing Address State Name:
SOR TRONDELAG
Provider Business Mailing Address Postal Code:
7020
Provider Business Mailing Address Country Code:
NO
Provider Business Mailing Address Telephone Number:
479-741-2783
Provider Business Mailing Address Fax Number:
477-257-6218

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
OLAV KYRRES GATE 17
Provider Second Line Business Practice Location Address:
STROKE UNIT, DEPT OF MEDICINE, ST OLAVS HOSPITAL
Provider Business Practice Location Address City Name:
TRONDHEIM
Provider Business Practice Location Address State Name:
SOR TRONDELAG
Provider Business Practice Location Address Postal Code:
7006
Provider Business Practice Location Address Country Code:
NO
Provider Business Practice Location Address Telephone Number:
477-257-5495
Provider Business Practice Location Address Fax Number:
477-257-6218
Provider Enumeration Date:
01/16/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  75236 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)