Individual
MS. MERRILYN LUCILLE TROMBLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
10 TOWER DR, DEAN MEDICAL CENTER, SUN PRAIRIE, WI 53590-1239
(608) 825-3628
(608) 825-3598
Mailing address
10 TOWER DR, DEAN MEDICAL CENTER, SUN PRAIRIE, WI 53590-1239
(608) 825-3628
(608) 825-3598
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2979-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7747
DEAN HEALTH INSURANCE
WI
Enumeration date
01/29/2008
Last updated
11/09/2009
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