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Individual

DR. MICHAEL JOHN MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
120 MONROE ST SE, CASCADE, IA 52033-7751
(563) 852-5060
(563) 852-7889
Mailing address
120 MONROE ST SE, P.O. BOX 366, CASCADE, IA 52033-7751
(563) 852-5060
(563) 852-7889

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05809
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0127100
IA
01
51759
WELLMARK ID NUMBER
IA
Enumeration date
12/12/2006
Last updated
07/08/2007
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