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Individual

JAN M MERIN

Active
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Individual

JAN M MERIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S9035
TX
207RX0202X
Medical Oncology Physician
92-304
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14065
NM
01
900521294
MEDICARE GROUP
NM
Enumeration date
05/23/2005
Last updated
05/29/2023
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