Individual
DR. MICHAEL S MERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6000 N ALLEN RD, PEORIA, IL 61614-3294
(309) 691-1400
Mailing address
6000 N ALLEN RD, PEORIA, IL 61614-3294
(309) 691-1400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036099143
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036099143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099143
—
IL
Enumeration date
08/02/2005
Last updated
06/18/2025
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