| Mark H Rossing Mdsc | |
|
888 Thackeray Trl Suite 211 Oconomowoc WI 53066-4342 | |
| (262) 567-1122 | |
| (262) 567-1481 |
| Full Name | Mark H Rossing Mdsc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 888 Thackeray Trl, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Mark H Rossing (OWNER) |
| Authorized Official Contact | 2625671122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark H Rossing Mdsc 888 Thackeray Trl Suite 211 Oconomowoc WI 53066-4342 Ph: (262) 567-1122 | Mark H Rossing Mdsc 888 Thackeray Trl Suite 211 Oconomowoc WI 53066-4342 Ph: (262) 567-1122 |
| NPI Number | 1063620847 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063620847 | NPI | - | NPPES |
| 31875700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 33425 (Wisconsin) | Primary |
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