Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas B Moericke, PA

Individual provider Medical Physician Assistant · NPI 1366446841

Douglas B Moericke, PA is a Medical Physician Assistant in Whitehall, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

18601 Lincoln St
Whitehall, WI 54773-8605
Phone: (715) 538-4361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 492 (WI)

Record details

NPI number1366446841
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 13, 2005
Last updated in NPPESMarch 19, 2019
Mailing address18601 Lincoln St, Whitehall, WI 54773-8605

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