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1033442538
WILLIAM T MERRITT
KENOSHA, WI
NPI
1033442538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2503-23)
Enumeration Date
2009-09-15
Last Update Date
2018-10-09
Business Address
WILLIAM T MERRITT PA
6121 GREEN BAY RD STE 100
KENOSHA, WI 53142-2931
Phone number: 262-945-7557
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Mailing Address
WILLIAM T MERRITT PA
6121 GREEN BAY RD STE 100
KENOSHA, WI 53142-2931
Phone number: 262-945-7557
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