Individual
DR. KENNETH EDGAR MERCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6093 FULTON ST, MAYVILLE, MI 48744
(989) 843-6431
(989) 843-6431
Mailing address
PO BOX 294, 6093 FULTON ST, MAYVILLE, MI 48744
(989) 843-6431
(989) 843-6511
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901008782
MI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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