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MERRILL LEE STASS-ISERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10 S WATERVIEW DR, PALM COAST, FL 32137-1626
(913) 244-7100
(386) 447-9568
Mailing address
10 S WATERVIEW DR, PALM COAST, FL 32137-1626
(913) 244-7100
(386) 447-9568

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME102930
FL
207W00000X
Ophthalmology Physician
R8966
MO

Other

Enumeration date
08/31/2006
Last updated
04/20/2021
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