Individual
KATHERINE ANNE REPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18181 OAKWOOD BLVD STE 410, DEARBORN, MI 48124-4082
(313) 982-5430
Mailing address
18181 OAKWOOD BLVD, STE 101, DEARBORN, MI 48124-4082
(313) 436-2426
(313) 436-2440
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704285347
MI
Other
Enumeration date
05/19/2016
Last updated
10/05/2021
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