Provider Demographics
NPI:1720603327
Name:MRO2 CONSULTING, LLC
Entity Type:Organization
Organization Name:MRO2 CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMR CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-986-7832
Mailing Address - Street 1:N53W16243 WALDENS PASS
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-0624
Mailing Address - Country:US
Mailing Address - Phone:804-986-7832
Mailing Address - Fax:
Practice Address - Street 1:1701 SHARP RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:WI
Practice Address - Zip Code:53185-5214
Practice Address - Country:US
Practice Address - Phone:262-534-7297
Practice Address - Fax:262-534-7257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury MedicineGroup - Multi-Specialty