Individual
DOUGLAS EDWARD MERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
15000 MINNETONKA BLVD, MINNETONKA, MN 55345-1506
(952) 935-4037
Mailing address
15000 MINNETONKA BLVD, MINNETONKA, MN 55345-1506
(952) 935-4037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2916
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024610
PREFERRED ONE GROUP #
MN
01
—
6B478OR
BLUE CROSS BLUE SHIELD GR
MN
01
—
6B480ME
BLUE CROSS INDIVIDUAL ID
MN
Enumeration date
01/25/2007
Last updated
10/01/2007
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