Individual
MARYLOU MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 496-4700
Mailing address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
90261-30
WI
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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