Individual
RICHARD MICHAEL MERKHOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
224 W CALUMET ST, APPLETON, WI 54915-4935
(920) 733-4515
Mailing address
224 W CALUMET ST, APPLETON, WI 54915-4935
(920) 733-4515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3818-015
WI
1223G0001X
General Practice Dentistry
Primary
3818-015
WI
Other
Enumeration date
05/08/2008
Last updated
01/21/2014
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