Individual
DR. STEVEN REPPUHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2810 CHARLEVOIX AVE STE 102, ARROWHEAD COMMONS, PETOSKEY, MI 49770-8421
(231) 347-6542
(231) 348-0800
Mailing address
03198 REYCRAFT, BOYNE CITY, MI 49712
(231) 347-0456
(231) 348-0800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006233
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037196
MAGELLAN
MI
01
—
11286845
CAQH ID
MI
01
—
680B44503
BCBS ID
MI
Enumeration date
01/26/2007
Last updated
07/08/2007
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