Individual
MR. PAUL WILLIAM MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23540 LEE BAKER DR, SOUTHFIELD, MI 48075-3359
(248) 905-3324
(248) 905-3324
Mailing address
23540 LEE BAKER DR, SOUTHFIELD, MI 48075-3359
(248) 905-3324
(248) 905-3324
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
M630676887922
MI
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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