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Organization

STEVEN J. REPITOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLIE SWARTZ (CEO)
(989) 791-2455
Entity
Organization

Contact information

Practice address
8244 METRO PKWY # C, STERLING HEIGHTS, MI 48312-2778
(586) 795-4060
Mailing address
3785 BAY RD, SAGINAW, MI 48603-2433
(989) 791-2455
(989) 791-1392

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194760835
MI
Enumeration date
02/27/2018
Last updated
02/27/2018
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