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Individual

DR. GEORGE W MERKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PC

Contact information

Practice address
360 N MAIN ST, STE A, BLUFFTON, IN 46714-2041
(260) 824-4315
(260) 824-4962
Mailing address
360 N MAIN, STE A, BUFFTON, IN 46714
(260) 824-4315
(260) 824-4962

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01023363
IN
208100000X
Physical Medicine & Rehabilitation Physician
01023363
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000179540
ANTHEM
IN
05
100257790
IN
Enumeration date
04/06/2006
Last updated
11/15/2007
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