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MERRICK PLASTIC AND HAND SURGERY SC

Physicians Plastic Surgery Surgery of the Hand

Provider NPI: 1740424209

Organization Information:
Organization Name:  MERRICK PLASTIC AND HAND SURGERY SC
Organization is not Subpart
Authorized Official:  JOHN CLINTON MERRICK, MD  PRESIDENT  715-514-2550

Practice Location:
719 W HAMILTON AVE STE A  EAU CLAIRE, WI 54701-6970 US
Tel: 715-514-2558  Fax: 715-514-2558

Business Mailing Address:
719 W HAMILTON AVE STE A  EAU CLAIRE, WI 54701-6970 US
Tel: 715-514-2550  Fax: 715-514-2558

NPI Information:
NPI: 1740424209
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2082S0105XPhysicians
Plastic Surgery
Surgery of the Hand
WI48417-020

Other Provider Identifiers:

IssuerNumberStateType
34672400WI05



American Medical Association 2012 taxonomy code information

Code: 2082S0105X

Type:

Classification:



Definition:



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