Doctor Name: | DR. MELVIN D MERRITT |
NPI Number: | 1386727584 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17048 |
Business Practice Address: | 2166 Madison Ave Granite City, IL - 620404700 |
Business Phone Number: | 6184514872 |
Business Fax Number: | 6184516203 |
Mailing Address: | 2166 Madison Ave, GRANITE CITY |
State: | IL |
Postal Code: | 620404700 |
Phone Number: | 6184514872 |
Fax Number: | 6184516203 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 12/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 17048 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |