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Individual

MICHAEL LEE MERRIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1919 STATE STREET, SUITE 302, SANTA BARBARA, CA 93101-2430
(805) 563-9814
(805) 563-9838
Mailing address
PO BOX 50706, SANTA BARBARA, CA 93150-0706
(805) 963-3757
(805) 564-3332

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
G18945
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G189450
CA
Enumeration date
09/09/2005
Last updated
11/07/2011
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