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NPI Profile for MICHAEL R DEPEW in MANITOWOC, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1619032919 |
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| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 12/27/2006 | |
| Last updated | 09/24/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MICHAEL R DEPEW
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MICHAEL R DEPEW, PA