ALYSSA S DEPPONG

PLEASANT PRAIRIE, WI
NPI1538721451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4736-23)
Additional Taxonomies207RG0100X Internal Medicine, Gastroenterology
(Licence: WI  4736-23)
Enumeration Date2019-07-01
Last Update Date2022-12-05
Business Address
ALYSSA S DEPPONG Physician Assistant
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158-1227
Phone number: 262-857-5000
Mailing Address
ALYSSA S DEPPONG Physician Assistant
12500 AURORA DR
PLEASANT PRAIRIE, WI 53158-1227
Phone number: 262-857-5000