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Individual

NASREEN MERCHANT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
23133 ORCHARD LAKE RD, SUITE 100, FARMINGTON, MI 48336-3268
(248) 477-0100
(248) 477-6153
Mailing address
23133 ORCHARD LAKE RD, SUITE 100, FARMINGTON, MI 48336-3268
(248) 477-0100
(248) 477-6153

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301052988
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139951
CARE CHOICES
MI
01
3506333691
BLUE CROSS
MI
05
4144840
MI
05
4144850
MI
01
4573545
AETNA
MI
01
633369
BLUE CROSS
MI
01
C7096
MCARE
MI
01
P76422
BLUE CROSS
MI
Enumeration date
06/10/2006
Last updated
07/08/2007
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