Organization
REPOSE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY A PATTEE (PRACTICE MANAGER)
(920) 356-6416
Entity
Organization
Contact information
Practice address
36539 HARPER AVE, CLINTON TOWNSHIP, MI 48035-2012
(586) 228-0600
(920) 356-6419
Mailing address
120 PARK AVE STE 1, BEAVER DAM, WI 53916-2132
(920) 885-5225
(920) 356-6419
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
01/11/2024
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