# MR. MICHAEL R REPIK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134284383
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | )T010607 | PA | — |
| 208D00000X | General Practice Physician | 20A12768 | CA | — |
| 208D00000X | General Practice Physician | 5799 | AZ | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | 14304 | NH | — |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 02/17/2019