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NPI Code Detail

MEDICARE: ZOE MERILLAT PA STUDENT

MEDICARE: ZOE MERILLAT PA STUDENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramMI

General Provider Information

NPI Number : 1326970989
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE MERILLAT PA STUDENT
Provider Business Mailing Address
First Line : 2633 W WEINERT RD
Second Line :
City : COLEMAN
State : MI
Zip : 48618-9752
Country : US
Telephone Number : 989-488-8059
Fax Number :
Provider Business Practice Location Address
First Line : 1900 COLUMBUS AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-6831
Country : US
Telephone Number : 989-894-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ ZOE MERILLAT PA STUDENT” Practice Location

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