Individual
WILLIAM T MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6121 GREEN BAY RD STE 100, KENOSHA, WI 53142-2931
(262) 945-7557
(262) 727-0841
Mailing address
6121 GREEN BAY RD STE 100, KENOSHA, WI 53142-2931
(262) 945-7557
(262) 727-0841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2503-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033442538
—
WI
Enumeration date
09/15/2009
Last updated
10/09/2018
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