Provider Demographics
NPI:1225356686
Name:MELKER, MERRITT F III (MD)
Entity Type:Individual
Prefix:DR
First Name:MERRITT
Middle Name:F
Last Name:MELKER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MERRITT
Other - Middle Name:
Other - Last Name:MELKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:18322 N MISSION HILLS AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7972
Mailing Address - Country:US
Mailing Address - Phone:225-752-7716
Mailing Address - Fax:
Practice Address - Street 1:18322 N MISSION HILLS AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-7972
Practice Address - Country:US
Practice Address - Phone:225-752-7716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD014129207V00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center