Individual
MR. DOUGLAS MERENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LRN
Contact information
Practice address
26184 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7500
(313) 389-7510
Mailing address
26184 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7500
(313) 389-7510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704214700
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704214700
STATE LICENSE NUMBER
MI
Enumeration date
10/03/2006
Last updated
11/16/2018
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