Individual
ALYSSA S DEPPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5000
Mailing address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
4736-23
WI
363A00000X
Physician Assistant
Primary
4736-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091500
—
WI
Enumeration date
07/01/2019
Last updated
12/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us