Individual
MR. MICHAEL MERRILL CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 739-1100
Mailing address
45 WILLOW ST, SPRINGFIELD, MA 01103-1910
(978) 407-2433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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