Individual
DR. MERTON ANTHONY SHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
924 BALDWIN AVE, SUITE C, ANN ARBOR, MI 48104-3523
(734) 662-0294
(734) 769-8066
Mailing address
924 BALDWIN AVE, SUITE C, ANN ARBOR, MI 48104-3523
(734) 662-0294
(734) 769-8066
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
6301003005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680H113140
BLUE CROSS PROVIDER ID.
MI
Enumeration date
10/16/2006
Last updated
07/08/2007
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