Provider Demographics
NPI:1497830384
Name:MERZ, CLIF R (PA-C)
Entity Type:Individual
Prefix:MR
First Name:CLIF
Middle Name:R
Last Name:MERZ
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2600 TUSCARAWAS ST W
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-4644
Mailing Address - Country:US
Mailing Address - Phone:330-458-3820
Mailing Address - Fax:330-455-6114
Practice Address - Street 1:2037 WALES RD NE
Practice Address - Street 2:SUITE 110
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-4185
Practice Address - Country:US
Practice Address - Phone:330-832-2663
Practice Address - Fax:330-832-5614
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2009-12-29
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Provider Licenses
StateLicense IDTaxonomies
OH50000365363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEPA10262Medicare PIN