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Individual

DR. WILSON MERCHANT III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101 035383
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007500921
VA
01
080230000-00
QUALCHOICE
VA
01
1900070
UNITED HEALTHCARE
VA
01
207
CARENET
VA
01
212761
CIGNA
VA
01
340009882
RAILROAD MEDICARE
VA
01
35757
ALLIANCE
VA
01
4063601
AETNA PPO
VA
01
414884791
TRICARE
VA
01
45728
SENTARA FAMILY CARE
VA
01
59337
SOUTHERN HEALTH
VA
01
790529
AETNA HMO
VA
01
C04008
MEDICARE GROUP #
VA
01
CA4542
RAILROAD MEDICARE GROUP #
VA
Enumeration date
04/18/2006
Last updated
10/28/2020
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