Individual
DR. LOUIS THAYER MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 FISHER RD, SUITE 3-1, BERLIN, VT 05602-9516
(802) 225-7039
Mailing address
130 FISHER RD STE 3-1, BERLIN GENERAL SURGERY, BERLIN, VT 05602-9000
(802) 225-7039
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
042.0012371
VT
208600000X
Surgery Physician
Primary
212039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01881158
—
NY
05
—
1020429
—
VT
01
—
5372668
AETNA
NY
01
—
77L071
EMPIRE BC.BS
NY
Enumeration date
07/18/2006
Last updated
11/11/2014
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