Doctor Name: | ROBERT MERWICK |
NPI Number: | 1356330112 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 14328 |
Business Practice Address: | 5700 Arnold St 72mdg/sghq Tinker Afb, OK - 731458105 |
Business Phone Number: | 4057343421 |
Business Fax Number: | 4057343404 |
Mailing Address: | 5700 Arnold St, 72mdg/sghq TINKER AFB |
State: | OK |
Postal Code: | 731458105 |
Phone Number: | 4057343421 |
Fax Number: | 4057343404 |
NPI Enumeration Date: | 10/14/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 14328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |