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Individual
ALYSSA LEE MERKEL
Active
Individual
ALYSSA LEE MERKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004503A
IN
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300095539
—
IN
Enumeration date
06/13/2018
Last updated
09/03/2024
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