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Merrie Viscarra DO NPI 1003802281

Classification
Physical Medicine & Rehabilitation
Type
License No.
36113267
License State
IL
Certified
Location

Additional Identifiers

Medical School
No
Graduation Year
0
Identifier
Type
State
Identifier: 036113267
Type: MEDICAID (05)
State: IL
Identifier: 1633786
Type: OTHER (01)
State: IL
Identifier: P00255743
Type: OTHER (01)
State: IL

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
1530 N RANDALL RD STE 210, ELGIN, IL, 601237879
Business Phone
224-760-7322
Mailing Address
6400 INDUSTRIAL LOOP, GREENDALE, WI, 531292452
Mailing Phone
414-858-4106
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