Organization · Type 2 NPI
Repose PLLC
Otolaryngology/Facial Plastic Surgery Physician · Clinton Township, MI
NPI number
1144944349
Active
Practice location
36539 Harper Ave
Clinton Township, MI 48035-2012
Fax (920) 356-6419
Mailing address
120 Park Ave Ste 1
Beaver Dam, WI 53916-2132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | None listed |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
3 other providers at this address
About NPI 1144944349
Repose PLLC's National Provider Identifier is 1144944349, issued on Sep 30, 2022. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Clinton Township, MI. The record was last updated on Jan 11, 2024.