Individual
DOUGLAS G MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
1 MEDICAL CENTER DR, DEPARTMENT OF ANESTHESIA, LEBANON, NH 03756-1000
(603) 650-5922
(603) 650-8980
Mailing address
1 MEDICAL CENTER DR, DEPARTMENT OF ANESTHESIA, LEBANON, NH 03756-1000
(603) 650-5922
(603) 650-8980
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
14661
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050077267
RAIL ROAD MEDICARE
WA
05
—
0748467
—
IA
05
—
1017029
—
VT
01
—
29542
WELLMARK BCBS
IA
05
—
30209185
—
NH
01
—
5531ME
INDIVIDUAL BLUE SHIELD
WA
05
—
8255556
—
WA
Enumeration date
03/02/2006
Last updated
08/01/2011
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