Individual
MERL J. MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MERL MAST
Contact information
Practice address
5735 S IRONWOOD RD, SOUTH BEND, IN 46614-9668
(574) 299-4847
Mailing address
5735 S IRONWOOD RD, SOUTH BEND, IN 46614-9668
(574) 299-4847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003521A
IN
Other
Enumeration date
07/09/2010
Last updated
07/08/2013
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