Individual provider · Type 1 NPI

Samuel Glenn Merrill Ix, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1023711736 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2172

Call (313) 343-3400 Map

Fax (313) 343-4056

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023711736

Samuel Glenn Merrill Ix, MD's National Provider Identifier is 1023711736, issued on Mar 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Mar 22, 2023.