Individual
DR. MERLE RAY HOLSOPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
542 N 3RD STREET, MONTGOMERY, IN 47558-5745
(812) 486-2842
(812) 486-2784
Mailing address
PO BOX 102, MONTGOMERY, IN 47558-0102
(812) 486-2842
(812) 486-2784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057351A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200432660
—
IN
Enumeration date
03/09/2006
Last updated
05/06/2021
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