Perry John Merillat
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
7 Atkinson Dr Ste 200
Ludington
, Michigan 49431-1917
Perry John Merillat
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
7 Atkinson Dr Ste 200
Ludington
, Michigan 49431-1917
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Perry John Merillat
- 100 Michigan St Ne # Mc845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Perry John Merillat
- 7 Atkinson Dr Ste 200
- Ludington, MI
- Zip : 49431-1917
- Phone : (231) 843-2664
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 5101022047 | MI |
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 5101022047 | MI |
National Provider Identifier
| NPI | 1093197139 |
|---|---|
| Provider Name | Perry John Merillat |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Ludington, MI 49431-1917 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2015 |
| Last Update Date | 31/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.