Individual
DR. CHARLES W MERCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036047588
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047588
—
IL
01
—
200023832
RAILROAD MEDICARE
IL
01
—
21606715
BLUE CROSS BLUE SHIELD
IL
01
—
45543707
UNITED HEALTHCARE
IL
Enumeration date
03/17/2006
Last updated
10/12/2016
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