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Individual

BRENT EDWARD MEZGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
1175 S COLLEGE MALL RD, BLOOMINGTON, IN 47401-6177
(812) 323-4301
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(937) 369-8865

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71007721A
IN
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021975
OH

Other

Enumeration date
11/23/2017
Last updated
03/03/2023
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