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Individual

MISS NURIA E ROSA MERCADAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01076866A
IN
207R00000X
Internal Medicine Physician
11017056A
IN
208M00000X
Hospitalist Physician
Primary
01076866A
IN

Other

Enumeration date
05/21/2013
Last updated
09/20/2023
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