IndividualActive
C Rowan Debold
NPI 1366426108 · Endocrinology, Diabetes & Metabolism Physician · St Louis Park, MN
Provider details
- NPI number
- 1366426108
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 33747 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-3622
Approximate (ZIP-level) locationGet directions
Mailing address
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2012-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.