Individual
NORMAN J MECHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2533 E OTTAWA ST, SPRINGFIELD, MO 65804-2678
(417) 889-4119
Mailing address
2533 E OTTAWA ST, SPRINGFIELD, MO 65804-2678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7D17
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107085
BLUE CROSS/BLUE SHIELD
—
05
—
202013728
—
MO
Enumeration date
06/15/2006
Last updated
09/01/2023
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