Provider Demographics
NPI:1982801973
Name:ROVIG, SHERRY MARLENE (ATP)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:MARLENE
Last Name:ROVIG
Suffix:
Gender:F
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1982 LISMORE RD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55804-3352
Mailing Address - Country:US
Mailing Address - Phone:218-343-4909
Mailing Address - Fax:218-525-0489
Practice Address - Street 1:1982 LISMORE RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55804-3352
Practice Address - Country:US
Practice Address - Phone:218-343-4909
Practice Address - Fax:218-525-0489
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other