Individual
ROBERT J. MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3051 CAHILL MAIN, FITCHBURG, WI 53711-7109
(608) 661-7200
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
(608) 251-4156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2157
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38530200
—
WI
Enumeration date
11/08/2006
Last updated
10/17/2012
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