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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS B MOERICKE, PA

Active

DOUGLAS B MOERICKE, PA is a Medical Physician Assistant healthcare provider located in WHITEHALL, Wisconsin. NPI 1366446841 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WHITEHALL, WI

Registration Details

NPI Number
1366446841
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2005 (20.987528785187 yrs)
Last Updated
Mar 19, 2019
License
492 (WI)

Practice Information

Address
18601 LINCOLN ST
WHITEHALL, WI, 547738605
Browse WI providers · Browse ZIP 54773
Phone
7155384361
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in WHITEHALL, WI

Name Credential NPI
MR. MARK R ZELLMER PA-C 1023013364
ANGELA E HOUSE PA 1396741823
BETHANY ROSE YARD PA-C 1386944502
CAITLIN MARIE LUTTROPP PA-C 1346807294
TAYLA J PEROTTI 1578253001
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.