Individual
TODD LAMONT MERRIWETHER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 N WALNUT ST, MOUNT CLEMENS, MI 48043-5813
(586) 339-4572
Mailing address
263 N WALNUT ST, MOUNT CLEMENS, MI 48043-5813
(586) 339-4572
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
M636799488835
MI
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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