Merrill Lee Stass-Isern, MD Valid NPI

Individual provider · Ophthalmology Physician · Palm Coast, FL

NPI

1346351368

Type

Individual (Type 1)

Primary specialty

Ophthalmology Physician (Ophthalmology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207W00000X

License number

ME102930 (FL)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-08-31

Last updated

2021-04-20