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Individual
DR. LOUIS THAYER MERRIAM
Active
Individual
DR. LOUIS THAYER MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
042.0012371
VT
208600000X
Surgery Physician
Primary
212039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01881158
—
NY
05
—
1020429
—
VT
01
—
5372668
AETNA
NY
01
—
77L071
EMPIRE BC.BS
NY
Enumeration date
07/18/2006
Last updated
11/11/2014
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