Nicole A Merz, PA-C
Family Medicine in Beaver Dam, WI. Individual provider (NPI-1).
NPI number1679926596
StatusActive
Last updated in NPPESMay 21, 2025
Details
- NPI
- 1679926596
- Entity type
- Individual (NPI-1)
- Name
- Nicole A Merz
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2016
- Certification date
- Dec 14, 2020
- Last updated
- May 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3822-23 | WI | Yes |
| 363A00000X | Physician Assistant | 3822-23 | WI |
Practice location
215 Corporate DriveSuite A
Beaver Dam, WI 53916
Phone 920-319-8231 · Fax 414-622-3888
Mailing address
215 Corporate DriveSuite A
Beaver Dam, WI 53916
Phone 920-926-5666 · Fax 920-926-8763
Other practice locations
1821 S Stoughton Rd
Madison, WI 53716-2257
Madison, WI 53716-2257
Phone 608-260-6000 · Fax 608-260-6161
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