Alyssa S Deppong, PHYSICIAN ASSISTANT
NPI #1538721451 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1538721451
- Entity Type
- Individual
- Name
- Alyssa S Deppong, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jul 1, 2019
- Last Updated
- Dec 5, 2022
Practice Location
- Address
- 12500 AURORA DR
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-1227
- Phone
- (262) 857-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
| Physician Assistant |
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