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

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905XNone 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.