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Individual

DR. COLIN MERVAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
432 ONAWAY PL, ANN ARBOR, MI 48104-1827
(734) 330-6983

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.152249
IL
208000000X
Pediatrics Physician
Primary
4301511122
MI

Other

Enumeration date
03/18/2017
Last updated
04/01/2024
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