Organization
MERRICK PLASTIC AND HAND SURGERY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MERRICK (OFFICE MANAGER)
(715) 563-1588
Entity
Organization
Contact information
Practice address
1110 OAK RIDGE DR, EAU CLAIRE, WI 54701-6133
(715) 514-2550
(715) 514-2558
Mailing address
1110 OAK RIDGE DR, EAU CLAIRE, WI 54701-6133
(715) 514-2550
(715) 514-2558
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
48417-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34672400
—
WI
Enumeration date
04/28/2009
Last updated
11/01/2023
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