| Doctor Name: | DR. THOMAS J MERLE |
| NPI Number: | 1730187469 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 3505260M |
| Business Practice Address: | 3533 Southern Blvd Ste 5650 Kettering, OH - 454291264 |
| Business Phone Number: | 9372943611 |
| Business Fax Number: | 9372949010 |
| Mailing Address: | 35 Arcadian Dr, SPRINGBORO |
| State: | OH |
| Postal Code: | 450668918 |
| Phone Number: | 9377489294 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 3505260M |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |