Individual
MR. JOHN E MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1406 6 AVE N, ST CLOUD, MN 56301-1901
(320) 255-5657
(320) 656-7194
Mailing address
511 9 AVE S, ST CLOUD, MN 56301-4238
(612) 227-6312
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43425
MN
Other
Enumeration date
03/03/2006
Last updated
11/05/2007
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