SearchIllinois343900000X

Frederick Merritt

NPI 1043722556 · on the registry since 2017 · sole proprietor

Practice

Address
315 Campus Dr
Belleville, IL 62221
Phone
(314) 393-3335

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois