ALYSSA DEPPONG, PHYSICIAN ASSISTANT

Physician Assistant

Active Individual
NPI: 1538721451

Practice Address

12500 AURORA DR
Pleasant Prairie, WI 53158

Phone: (262) 857-5000

Specialties

Specialty Code Primary License
Internal Medicine - Gastroenterology 207RG0100X No 4736-23 (WI)
Physician Assistant 363A00000X Yes 4736-23 (WI)

Frequently Asked Questions

NPI 1538721451 is the National Provider Identifier for ALYSSA DEPPONG, PHYSICIAN ASSISTANT, a Physician Assistant provider located in Pleasant Prairie, WI. This NPI was enumerated on July 1, 2019.
ALYSSA DEPPONG, PHYSICIAN ASSISTANT practices at 12500 AURORA DR, Pleasant Prairie, WI 53158.

Quick Facts

NPI
1538721451
Type
Individual
Enumerated
Jul 1, 2019
Last Updated
Dec 5, 2022

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