Healthcare Provider Details

I. General information

NPI: 1417893082
Provider Name (Legal Business Name): ROBERT BRENDAN RZEPPA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44250 DEQUINDRE RD FL 3
STERLING HEIGHTS MI
48314-1002
US

IV. Provider business mailing address

44250 DEQUINDRE RD
STERLING HEIGHTS MI
48314-1002
US

V. Phone/Fax

Practice location:
  • Phone: 248-964-0400
  • Fax: 248-964-0401
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5151017868
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: