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1366446841
DOUGLAS B MOERICKE
WHITEHALL, WI
NPI
1366446841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 492)
Enumeration Date
2005-06-13
Last Update Date
2019-03-19
Business Address
DOUGLAS B MOERICKE PA
18601 LINCOLN ST
WHITEHALL, WI 54773-8605
Phone number: 715-538-4361
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Mailing Address
DOUGLAS B MOERICKE PA
18601 LINCOLN ST
WHITEHALL, WI 54773-8605
Phone number: 715-538-1712
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