Individual
DR. MARK T. ROVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Mailing address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
(920) 364-2451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
44254
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
52152-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003866864
—
WI
Enumeration date
05/11/2006
Last updated
12/21/2017
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