| Doctor Name: | MR. MERLE LAWRENCE ZUMWALT |
| NPI Number: | 1427272590 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01033621B |
| Business Practice Address: | 729 High St Logansport Juvenile Facility Logansport, IN - 46947 |
| Business Phone Number: | 5747535549 |
| Business Fax Number: | 5747221274 |
| Mailing Address: | 7339 Indian Mound Trail, BATTLE GROUND |
| State: | IN |
| Postal Code: | 479209720 |
| Phone Number: | 7655674642 |
| Fax Number: | 5747221274 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01033621B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |