Provider Demographics
NPI:1568494011
Name:FARRAND, MERRILL R (DO)
Entity Type:Individual
Prefix:
First Name:MERRILL
Middle Name:R
Last Name:FARRAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BARNARD LN
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6714
Mailing Address - Country:US
Mailing Address - Phone:207-502-7074
Mailing Address - Fax:207-502-7079
Practice Address - Street 1:26 BARNARD LN
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6714
Practice Address - Country:US
Practice Address - Phone:207-502-7074
Practice Address - Fax:207-502-7079
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME1096207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine