Individual
MR. BRIAN DAVID MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
W 7002 HIGHWAY 70, FIFIELD, WI 54524
(715) 762-1516
Mailing address
PO BOX 92, FIFIELD, WI 54524
(715) 367-3978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4650-024
WI
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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