Provider Demographics
NPI:1154179372
Name:FLOUNORY, MERLIN
Entity type:Individual
Prefix:MR
First Name:MERLIN
Middle Name:
Last Name:FLOUNORY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16246 PREST ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16246 PREST ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3844
Practice Address - Country:US
Practice Address - Phone:248-554-7952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No176P00000XOther Service ProvidersFuneral DirectorGroup - Single Specialty