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Individual

STEVEN L. MERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
(262) 251-7128
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22463
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30264600
WI
01
P00449657
RR MEDICARE
WI
Enumeration date
07/04/2006
Last updated
11/23/2021
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