Individual
DOUGLAS EDWARD MERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
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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