Individual
MR. JOHN FREEMAN MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D
Contact information
Practice address
1075 STAGE RD, ETNA, ME 04434
(207) 269-4570
Mailing address
PO BOX 107, ETNA, ME 04434-0107
(207) 269-4570
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
5012
ME
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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