Individual
MRS. DONNA ZELLA MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4615 EASTMAN AVENUE, MIDLAND, MI 48642-6825
(989) 631-7110
(989) 892-7455
Mailing address
1913 TRAILWOOD CIR E, MIDLAND, MI 48642-6825
(989) 832-0857
(989) 667-9661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2L36020
HEALTH PLUS
MI
01
—
E66019086
MEDICARE PTAN
MI
01
—
MERRI-0008
COMP CARE
MI
01
—
P43930009
MEDICARE PTAN
MI
01
—
Z96017097
MEDICARE PTAN
MI
Enumeration date
04/17/2007
Last updated
06/11/2009
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