Individual
DR. MARK A. MERZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7077 MARINE RD, EDWARDSVILLE, IL 62025-4281
(618) 656-1111
(618) 659-1111
Mailing address
7077 MARINE RD, EDWARDSVILLE, IL 62025-4281
(618) 656-1111
(618) 659-1111
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006005107
BCBS PROVIDER #
IL
Enumeration date
03/30/2007
Last updated
07/08/2007
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