Individual
JONATHAN C. MERKLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 SALEM RD, SUITE 1, MONTEVALLO, AL 35115-3586
(205) 665-7991
(205) 665-2913
Mailing address
33 SALEM RD, SUITE 1, MONTEVALLO, AL 35115-3586
(205) 665-7991
(205) 665-2913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21192
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51507997
BLUE CROSS/BLUE SHIELD AL
AL
Enumeration date
12/19/2005
Last updated
07/08/2007
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