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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALYSSA S DEPPONG, PHYSICIAN ASSISTANT

Active

ALYSSA S DEPPONG, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in PLEASANT PRAIRIE, Wisconsin. NPI 1538721451 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PLEASANT PRAIRIE, WI

Registration Details

NPI Number
1538721451
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2019 (7.0940185718261 yrs)
Last Updated
Dec 5, 2022
Licenses
4736-23 (WI)
4736-23 (WI)

Practice Information

Address
12500 AURORA DR
PLEASANT PRAIRIE, WI, 531581227
Browse WI providers · Browse ZIP 53158
Phone
2628575000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in PLEASANT PRAIRIE, WI

Name Credential NPI
JEFFREY ALLEN GREENE PA 1063492221
KEVIN ROY POOLE PA-C 1477529915
ASHELEY ROBYN GOERGEN PAC 1720034267
MR. MATTHEW J. ORZEL PA 1639215197
LINDSEY KAUFMAN PA-C 1255664397
ELIZABETH M MARTIN P.A. 1821478876
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.