Provider Demographics
NPI:1336193176
Name:ORR, MERLE R (MD)
Entity Type:Individual
Prefix:DR
First Name:MERLE
Middle Name:R
Last Name:ORR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:PHYSICAL MEDICINE AND REHABILITATION
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-9766
Mailing Address - Fax:414-805-7348
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:PHYSICAL MEDICINE AND REHABILITATION
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-9766
Practice Address - Fax:414-805-7348
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-01-24
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Provider Licenses
StateLicense IDTaxonomies
WI483032081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
001863302BOtherHUMANA
WI1336193176Medicaid
I38514Medicare UPIN
WI044S 73-601Medicare PIN