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Individual

DAVID C MERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8905 W LINCOLN AVE, #505, WEST ALLIS, WI 53227-2468
(414) 329-5647
Mailing address
8905 W LINCOLN AVE, #505, WEST ALLIS, WI 53227-2468
(414) 329-5647

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
9701062
NC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
9701062
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1055R
BCBS
NC
01
19721
PARTNERS
NC
05
3004936000
WV
05
6217281
VA
01
7336411
AETNA
05
891055R
NC
01
B8052
MEDCOST
NC
05
Q0106A
SC
Enumeration date
12/02/2005
Last updated
11/04/2011
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