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MR. EARL DEAN MERKEL MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1396728028

Individual Registrant:
MR. EARL DEAN MERKEL MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
222 S KANSAS ST STE E RUSSELL, KS 67665-3000 US
Tel: 785-483-3333  Fax: 785-483-4233

Contact information for business:
200 S MAIN ST  RUSSELL, KS 67665-2920 US
Tel: 785-483-3131  Fax: 785-483-4859

Registration Information:
NPI: 1396728028
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
KS04-11253
N208600000XAllopathic & Osteopathic Physicians
Surgery
KS04-11253

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
100085860EKS05
100085860CKS05
BCBS PERSONAL103168KS01
BCBS GROUP110498KS01
!ST GUARD622440KS01




HEALTH CARE JOBS KS - Page 1

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