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Individual
TODD R MERRICK
Active
Individual
TODD R MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD26832
OR
208M00000X
Hospitalist Physician
Primary
MD26832
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243099
—
OR
01
—
P00465303
RR MEDICARE
OR
Enumeration date
06/21/2007
Last updated
10/05/2020
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