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NPI Code Detail

MEDICARE: STEVEN J MERKEL M.D.

MEDICARE:   STEVEN J MERKEL  M.D.
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
1207Q00000XFamily Medicine Physician35052200OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00833936OTHERMEDICARE RR

Other Identifiers

General Provider Information

NPI Number : 1427026616
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN J MERKEL M.D.
Provider Business Mailing Address
First Line : 90 JACKSON PIKE
Second Line :
City : GALLIPOLIS
State : OH
Zip : 45631-1560
Country : US
Telephone Number : 740-886-9403
Fax Number : 740-886-3006
Provider Business Practice Location Address
First Line : 98 STATE ST
Second Line :
City : PROCTORVILLE
State : OH
Zip : 45669-8163
Country : US
Telephone Number : 740-886-9403
Fax Number : 740-886-3006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 07/30/2012

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