Individual
THOMAS R MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 W. OAK ST., FREMONT, MI 49412-1597
(231) 924-4200
(231) 924-4064
Mailing address
230 W OAK ST, FREMONT, MI 49412-1597
(231) 924-4200
(231) 924-4064
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1082387
MI
207X00000X
Orthopaedic Surgery Physician
24119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5447137
—
MI
05
—
5902695
—
NC
Enumeration date
07/28/2006
Last updated
03/18/2010
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