OrganizationActive
Repose PLLC
NPI 1144944349 · Otolaryngology/Facial Plastic Surgery Physician · Clinton Township, MI
Provider details
- NPI number
- 1144944349
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelsey Pattee, Practice Manager(920) 356-6416
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
36539 Harper Ave
Clinton Township, MI 48035-2012
Phone: (586) 228-0600
Fax: (920) 356-6419
Approximate (ZIP-level) locationGet directions
Mailing address
120 Park Ave Ste 1
Beaver Dam, WI 53916-2132
Registry dates
- Enumerated
- 2022-09-30
- Last updated
- 2024-01-11
- Certified
- 2024-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.