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Individual

MERRITT TUTTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2000
(414) 337-7068
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2000
(414) 337-7068

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
69951
WI
2080P0203X
Pediatric Critical Care Medicine Physician
69951
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073044566
WI
Enumeration date
03/25/2017
Last updated
09/27/2023
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