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Individual

ROBERT K MEHRLE JR.

Active
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Individual

ROBERT K MEHRLE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17298
MS
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
17298
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227851
—
MS
01
—
200000479
MEDICARE
MS
01
—
512G700003
UP MEDICARE
MS
01
—
52I200004
MEDICARE PTAN
MS
01
—
P00325234
RROAD MEDICARE
MS
01
—
P00645611
RR PTAN
MS
Enumeration date
06/04/2006
Last updated
02/11/2013
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