Individual
CHRISTOS REPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 955-0122
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 955-0122
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4191-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750800884
—
WI
Enumeration date
09/09/2017
Last updated
04/01/2024
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