Whalio Doctors

NPI 1003866864

Mark T. Rovick, DO

Practitioner Child & Adolescent Psychiatry Physician Appleton, WI

Practice location

Address
444 N Westhill Blvd, Appleton, WI 54914-5715
Phone
(920) 750-7000
Fax
(920) 364-2451

Registered specialties (2)

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 52152-21 (WI)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 44254 (MN)

Registry record

NPI
1003866864
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 May 2006
Record last updated
21 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.