Anica Merritt
NPI #1104608371 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1104608371
- Entity Type
- Individual
- Name
- Anica Merritt
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other
- Enumeration Date
- Oct 20, 2023
- Last Updated
- Dec 28, 2023
Practice Location
- Address
- 2210 S 108TH ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-1108
- Phone
- (414) 982-0987
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Specialist/Technologist, Other |
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