Individual provider · Type 1 NPI

Douglas B. Moericke, PA

Medical Physician Assistant · Whitehall, WI

NPI number 1366446841 Active

Practice location

18601 Lincoln St
Whitehall, WI 54773-8605

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X492 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1366446841

Douglas B. Moericke, PA's National Provider Identifier is 1366446841, issued on Jun 13, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Whitehall, WI. The record was last updated on Mar 19, 2019.