Individual
DR. CORINNA REPETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-6821
Mailing address
1155 W 3RD ST, BLOOMINGTON, IN 47404-5016
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01037634A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01037634A
IN LICENSE
IN
01
—
01037634B
CSR
—
05
—
200163730
—
IN
Enumeration date
09/02/2006
Last updated
03/07/2023
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