person
Douglas B Moericke, PA
Medical Physician Assistant in Whitehall, Wisconsin
NPI 1366446841

Douglas B Moericke is a Medical Physician Assistant based in Whitehall, WI and is specialized in Medical. Douglas B Moericke practices in Whitehall, WI and has the professional credentials of PA. The NPI Number for Douglas B Moericke is 1366446841 and holds a License No. 492 (Wisconsin).

The current practice location address for Douglas B Moericke is 18601 Lincoln St, Whitehall, WI and can be reached out via phone at 715-538-4361.

Location: 18601 Lincoln St, Whitehall, WI, 54773-8605
person
Provider Profile Details
NPI Number
1366446841
Provider Name
Douglas B Moericke
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
18601 Lincoln St, Whitehall, WI, 54773-8605
Phone Number
715-538-4361
Fax Number
Provider Enumeration Date
06/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42940400 05 WI
institution
Provider Business Practice Location Address Details
Address
18601 Lincoln St
City
State
Zip
54773-8605
Phone Number
715-538-4361
Fax Number
person
Provider Business Mailing Address Details
Address
18601 Lincoln St
City
State
Zip
54773-8605
Phone Number
715-538-4361
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
492 (Wisconsin)
Definition
Definition to come...
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