Individual
SCOTT RYAN MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVENUE, PULMONARY DISEASE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-0175
Mailing address
9200 W WISCONSIN AVENUE, PULMONARY DISEASE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-0175
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
82560
WI
207RP1001X
Pulmonary Disease Physician
Primary
82560
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578959524
—
WI
05
—
2565399
—
OH
Enumeration date
04/07/2015
Last updated
08/31/2023
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