Provider Demographics
NPI:1295946598
Name:MAERCKS, RIAN (MD)
Entity type:Individual
Prefix:
First Name:RIAN
Middle Name:
Last Name:MAERCKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4500 BISCAYNE BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3227
Mailing Address - Country:US
Mailing Address - Phone:305-328-8256
Mailing Address - Fax:305-468-4592
Practice Address - Street 1:4500 BISCAYNE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3227
Practice Address - Country:US
Practice Address - Phone:305-328-8256
Practice Address - Fax:305-468-4592
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1033922082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM620721760440OtherSTATE OF FLORIDA