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.

See every abbreviation used in this directory →

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

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