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Organization

GEORGE W MERKLE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANE L HOLLAND BUSINESS (OFFICE MANAGER)
(260) 824-4315
Entity
Organization

Contact information

Practice address
360 N MAIN ST STE A, BLUFFTON, IN 46714-2041
(260) 824-4315
(260) 824-4962
Mailing address
360 N MAIN ST STE A, BLUFFTON, IN 46714-2041
(260) 824-4315
(260) 824-4962

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
01023363
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200315120
IN
Enumeration date
06/15/2007
Last updated
11/15/2007
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