Individual
MR. CHRISTOPHER ROBERT MERTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
915 N GRAND BLVD, ST LOUIS VAMC, ST LOUIS, MO 63106
(314) 652-4100
Mailing address
1125 RIVER BIRCH DR, O FALLON, IL 62269-6510
(618) 402-4651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041281306
IL
163W00000X
Registered Nurse
Primary
127784
MO
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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