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Individual

JAMES ERWIN MERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1001 S HEMLOCK ST, IRON MOUNTAIN, MI 49801-3805
(906) 776-5982
(904) 774-4735
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 776-5982
(906) 774-4735

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101011179
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1652201024
BCBS MI
MI
05
30062500
WI
05
5183431
MI
01
P00608850
RR MEDICARE
MI
Enumeration date
10/20/2006
Last updated
11/03/2014
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