Individual
TARA RENAE MERTZ-HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 S 7TH ST, OAKES, ND 58474-2024
(701) 742-3267
(701) 742-3201
Mailing address
9990 HIGHWAY 11, OAKES, ND 58474-9171
(702) 210-0140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MRM-1396
ID
Other
Enumeration date
05/09/2014
Last updated
06/01/2019
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