Individual
MICHAEL GERALD MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 EDWARDS RD, NEW KENSINGTON, PA 15068-9226
(724) 212-1066
Mailing address
412 EDWARDS RD, NEW KENSINGTON, PA 15068-9226
(724) 212-1066
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD441377
PA
207Q00000X
Family Medicine Physician
18595
MS
207Q00000X
Family Medicine Physician
26072
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01632897
—
MS
05
—
1782254
—
LA
01
—
P00272261
RAILROAD MEDICARE
—
Enumeration date
02/02/2006
Last updated
12/10/2013
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