Individual
MERRILL B MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 EAST MAIN STREET, WAYNESBORO, PA 17268
(717) 765-4000
(717) 765-3447
Mailing address
501 EAST MAIN ST, WAYNESBORO, PA 17268
(717) 765-3400
(717) 765-3408
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD035052E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1364074
HIGHMARK BLUE SHIELD
PA
05
—
20015310
—
PA
01
—
2056466000
INDEPENDENCE BLUE CROSS
PA
01
—
930088503
MEDICARE RAILROAD
—
Enumeration date
10/05/2006
Last updated
01/02/2008
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