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Contact Information

NICOLE A MERZ, PA-C
215 CORPORATE DRIVE
SUITE A
BEAVER DAM, WI53916
 Phone: 920-319-8231
 Fax: 414-622-3888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE A MERZ · (Female)

NPI # 1679926596
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/15/2016
Last updated 05/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 3822-23
  • WI Medicaid 1679926596
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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