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Individual

DR. CHARLES EDWARD MERRILL SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
227 THIRD STREET, MARIETTA, OH 45750-1323
(740) 434-5952
(740) 434-5903
Mailing address
227 THIRD STREET, MARIETTA, OH 45750-1323
(740) 434-5952
(740) 434-5903

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34 . 005908
OH
207Q00000X
Family Medicine Physician
Primary
34.005908
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0987526
OH
Enumeration date
09/14/2006
Last updated
07/13/2011
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