Individual
DR. NICHOLAS ROOVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
230 N WISCONSIN ST, DE PERE, WI 54115
(920) 336-3390
Mailing address
2430 E MASON ST, GREEN BAY, WI 54302-3759
(920) 468-4642
(920) 468-3490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3502-35
WI
Other
Enumeration date
05/30/2018
Last updated
08/14/2019
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