Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME0054695 | FL |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME0054695 | FL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME0054695 | FL |
NPI | 1669470795 |
---|---|
Provider Name | Dr. Merrill Wayne Reuter |
First Address | Wellington, FL 33414-9353 |
Second Address | Lake Worth, FL 33467-2970 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 08/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D67607 | (02) | FL |