Individual
MATTHEW THEODORE MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(413) 654-7779
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01094731A
IN
207P00000X
Emergency Medicine Physician
Primary
4301511452
MI
Other
Enumeration date
04/19/2021
Last updated
09/20/2024
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