Individual
MARY MERDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 423-6060
(715) 421-7517
Mailing address
PO BOX 8080, WISCONSIN RAPIDS, WI 54495-8080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3487033
WI
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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