Individual
MR. EARL DEAN MERKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 S KANSAS ST, STE E, RUSSELL, KS 67665-3000
(785) 483-3333
(785) 483-4233
Mailing address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-3131
(785) 483-4859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-11253
KS
208600000X
Surgery Physician
04-11253
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085860C
—
KS
05
—
100085860E
—
KS
01
—
103168
BCBS PERSONAL
KS
01
—
110498
BCBS GROUP
KS
01
—
622440
ST GUARD
KS
Enumeration date
11/28/2005
Last updated
07/21/2022
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