Individual
CARLOS SCOTT MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6105 WILSON AVE SE, SUITE 202, GRANDVILLE, MI 49418
(616) 486-5299
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301069990
MI
208M00000X
Hospitalist Physician
4301069990
MI
Other
Enumeration date
02/15/2006
Last updated
03/03/2021
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