Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | IL |
NPI | 1023211679 |
---|---|
Provider Name | Dr. Merle John Denker |
First Address | Geneva, IL 60134-2578 |
Second Address | Geneva, IL 60134-2578 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C43347 | (02) | IL |