Individual
PERRY JOHN MERILLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7 ATKINSON DR STE 200, LUDINGTON, MI 49431-1917
(231) 843-2664
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101022047
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
5101022047
MI
Other
Enumeration date
06/25/2015
Last updated
06/03/2025
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