Individual
DR. GHULAM A MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1045 MARTIN LUTHER KING DR, CENTRALIA, IL 62801-3001
(618) 532-3110
(618) 532-7226
Mailing address
1045 MARTIN LUTHER KING DR, CENTRALIA, IL 62801-3001
(618) 532-3110
(618) 532-7226
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
IL
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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