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Individual

RODRIGO R MERINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
425 PINE RIDGE BLVD STE 300, WAUSAU, WI 54401-4124
(715) 847-2019
(715) 843-1315
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
31587-020
WI
2084N0400X
Neurology Physician
36055129
IL
2084N0400X
Neurology Physician
Primary
MD2015-0418
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124127139
WI
Enumeration date
09/22/2006
Last updated
05/11/2026
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