Organization
MARK H ROSSING MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H ROSSING MD (OWNER)
(262) 567-1122
Entity
Organization
Contact information
Practice address
888 THACKERAY TRL, SUITE 211, OCONOMOWOC, WI 53066-4342
(262) 567-1122
(262) 567-1481
Mailing address
888 THACKERAY TRL, SUITE 211, OCONOMOWOC, WI 53066-4342
(262) 567-1122
(262) 567-1481
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33425
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31875700
—
WI
Enumeration date
05/18/2007
Last updated
08/22/2020
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