Provider Demographics
NPI:1396967022
Name:REPP, ANITA LOPES (MD)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:LOPES
Last Name:REPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 MCAULEY DR
Mailing Address - Street 2:RHB 5115
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1014
Mailing Address - Country:US
Mailing Address - Phone:734-434-4430
Mailing Address - Fax:734-434-7634
Practice Address - Street 1:5333 MCAULEY DR
Practice Address - Street 2:RHB 5115
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1014
Practice Address - Country:US
Practice Address - Phone:734-434-4430
Practice Address - Fax:734-434-7634
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083091207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism