# MERRICK PLASTIC AND HAND SURGERY SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740424209
- **Authorized official:** KATHRYN MERRICK (OFFICE MANAGER)
- **Authorized official phone:** (715) 563-1588

## Contact information

- **Practice address:** 1110 OAK RIDGE DR, EAU CLAIRE, WI 54701-6133
- **Practice address phone:** (715) 514-2550
- **Practice address fax:** (715) 514-2558
- **Mailing address:** 1110 OAK RIDGE DR, EAU CLAIRE, WI 54701-6133
- **Mailing address phone:** (715) 514-2550
- **Mailing address fax:** (715) 514-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | 48417-020 | WI | Yes |

## Other

- **Enumeration date:** 04/28/2009
- **Last updated:** 11/01/2023
