Merrilee R Brandt is a Surgery in Centralia, Illinois. Merrilee R Brandt practices all healthcare services and medical treatments related to Surgery. The NPI Number for Merrilee R Brandt is 1942243811. The last update date is 2020-11-17.
Merrilee R Brandt's current location address is 1054 Martin Luther King Dr, Centralia, Illinois. You can contact this provider via phone number 6184365200 and fax number 6184368066. The mailing address for Merrilee R Brandt is 1054 Martin Luther King Dr, Centralia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Merrilee R Brandt |
|---|---|
| Address | 1054 Martin Luther King Dr, Centralia, Illinois |
| Phone Number | 6184365200 |
| Fax Number | 6184368066 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942243811 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2020-11-17 |
Provider Mailing Address Detail
| Address | 1054 Martin Luther King Dr |
|---|---|
| City | Centralia |
| State | Illinois (IL) |
| Post Code | 628013000 |
| Phone Number | 6184365200 |
| Fax Number | 6184368066 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36100456 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36100456 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Merrilee R Brandt?
The Merrilee R Brandt has been issued the NPI (National Provider Identifier) 1942243811 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Merrilee R Brandt's facilities are geographically located?
The facilities of Merrilee R Brandt are physically situated at the following location: 1054 Martin Luther King Dr, Centralia, IL, 628013000.
What is Merrilee R Brandt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Merrilee R Brandt is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Merrilee R Brandt receive the assignment of its 1942243811 from the Centers for Medicare & Medicaid Services?
The Merrilee R Brandt was issued its 1942243811 by the Centers for Medicare & Medicaid Services on 2006-06-14.
As of what date was the information regarding Merrilee R Brandt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Merrilee R Brandt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-11-17.