Provider Demographics
NPI:1063555951
Name:MAERCKLEIN, MARGARET C (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:C
Last Name:MAERCKLEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 CHARLTON WAY
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9298
Mailing Address - Country:US
Mailing Address - Phone:414-916-5334
Mailing Address - Fax:910-399-1485
Practice Address - Street 1:1104 CHARLTON WAY
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-9298
Practice Address - Country:US
Practice Address - Phone:414-916-5334
Practice Address - Fax:910-399-1485
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC202820207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31864200Medicaid
WI31864200Medicaid