Individual
DAVID L SOVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1531 S MADISON ST, APPLETON, WI 54915-1800
(920) 730-4411
Mailing address
1531 S MADISON ST, APPLETON, WI 54915-1800
(920) 730-4411
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21084
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30100700
—
WI
Enumeration date
09/06/2005
Last updated
06/17/2008
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