Individual
JUANITA L MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP 2B355, ANN ARBOR, MI 48109-5051
(734) 936-9250
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301058085
MI
207RG0100X
Gastroenterology Physician
Primary
4301058085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2753816
—
MI
Enumeration date
10/23/2006
Last updated
03/22/2012
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