Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 52591-020 | WI |
N | 207RA0401X | Internist - Addiction Medicine | 52591 | WI |
NPI | 1154521425 |
---|---|
Provider Name | Dr. Michael D Repplinger |
First Address | Madison, WI 53703-2900 |
Second Address | Madison, WI 53703-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 05/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1154521425 | (05) | WI |