Individual
DAVID MERSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12000 ELM CREEK BLVD N, MAPLE GROVE, MN 55369-7074
(763) 420-7048
(763) 420-7938
Mailing address
16090 ANDRIE ST NW, RAMSEY, MN 55303-3871
(763) 274-2808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18735
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004619
PREFERRED ONE
MN
01
—
125487
UCARE
MN
01
—
403L1ME
BLUE CROSS BLUE SHIELD
MN
01
—
6607902
MEDICA CHOICE
MN
01
—
HP13966
HEALTHPARTNERS
MN
Enumeration date
05/20/2006
Last updated
07/08/2007
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