Individual
MERRILL J SHIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1068 STATE ROUTE 28, SUITE C, MILFORD, OH 45150-2095
(513) 831-5900
(513) 831-0354
Mailing address
2601 MISSION POINT BLVD, SUITE 100, BEAVERCREEK, OH 45431-6600
(937) 912-4441
(937) 429-4236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35051246
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0567515
—
OH
Enumeration date
12/13/2006
Last updated
11/27/2012
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