Healthcare Provider Details

I. General information

NPI: 1023070596
Provider Name (Legal Business Name): RICHARD MERRITT SEARL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 SOUTH SIBLEY AVE AFFILIATED COMMUNITY MEDICAL CENTERS
LITCHFIELD MN
55355
US

IV. Provider business mailing address

520 SOUTH SIBLEY AVE AFFILIATED COMMUNITY MEDICAL CENTERS
LITCHFIELD MN
55355
US

V. Phone/Fax

Practice location:
  • Phone: 320-693-3233
  • Fax: 320-693-3290
Mailing address:
  • Phone: 320-693-3233
  • Fax: 320-693-3290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number44390
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: