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SAMUEL GLENN MERRILL IX MD
NPI 1023711736
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since March 22, 2023
22101 MOROSS RD, DETROIT, MI 48236(313) 343-3400(313) 343-4056 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Glenn Merrill Ix Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL GLENN MERRILL IX MD (NPI 1023711736) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1023711736
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL GLENN MERRILL IXCredential: MD
Location Address22101 MOROSS RDDetroit, MI 48236-2172
Mailing Address22101 Moross RdDetroit, MI 48236-2172 · (313) 343-3400 · Fax (313) 343-4056
Phone(313) 343-3400
Fax(313) 343-4056
Sole ProprietorNo
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1023711736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
22101 MOROSS RD, Detroit, MI 48236
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY DECAROLIS LMSW, ACSW
Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 417-2769
ELEFTHERIOS VOUYOUKAS MD, MSC
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
JAINA SABU SAMUEL
Nurse Practitioner (Acute Care)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
DR. DANIEL S RANA M.D.
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
MRS. MARIA ANNA SYJUD MPT
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-3744
DANIEL P SNOWER MD
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
ST. JOHN HOSPITAL AND MEDICAL CENTER
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (586) 753-0011
ENAS ALSHAREKH
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Merrill's NPI number?

The NPI number for Samuel Merrill is 1023711736. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Samuel Merrill located?

Samuel Merrill practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-3400.

What is Samuel Merrill's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Merrill was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.