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NPI Code Detail

MEDICARE: HEATHER ANN REPPERT

MEDICARE: HEATHER ANN REPPERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1942817465
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER ANN REPPERT
Provider Business Mailing Address
First Line : 525 VAN NEST ST
Second Line :
City : DUNDEE
State : MI
Zip : 48131-1140
Country : US
Telephone Number : 734-678-2765
Fax Number :
Provider Business Practice Location Address
First Line : 100 N STAEBLER RD STE B
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-9862
Country : US
Telephone Number : 734-252-6522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2020
Last Update Date : 08/18/2021

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Directions to “ HEATHER ANN REPPERT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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