Individual
DR. JILL MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
840 N 87TH ST, MILWAUKEE, WI 53226-3586
(414) 805-5760
Mailing address
10000 W INNOVATION DR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6169
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D11533
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33815800
—
WI
Enumeration date
06/14/2007
Last updated
02/18/2009
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