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Individual

JOHN RUSSELL MERCKE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(337) 392-6203
Mailing address
700 S 6TH ST, LEESVILLE, LA 71446-4719
(373) 926-2033

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
328002
LA

Other

Enumeration date
03/31/2018
Last updated
10/08/2021
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