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Individual
MERRILL B MCKENZIE
Active
Individual
MERRILL B MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD035052E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1364074
HIGHMARK BLUE SHIELD
PA
05
—
20015310
—
PA
01
—
2056466000
INDEPENDENCE BLUE CROSS
PA
01
—
930088503
MEDICARE RAILROAD
—
Enumeration date
10/05/2006
Last updated
07/31/2026
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