Individual
DR. THOMAS ROBERT ROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D..
Contact information
Practice address
1531 S MADISON ST, SUITE 580, APPLETON, WI 54915-1800
(920) 475-3711
Mailing address
1531 S MADISON ST, SUITE 580, APPLETON, WI 54915-1800
(920) 636-5510
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101242091
VA
2084P0800X
Psychiatry Physician
Primary
55693020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942413513
—
VA
05
—
1942413513
—
WI
Enumeration date
05/08/2007
Last updated
01/02/2014
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