Individual
DR. MATTHEW OWEN MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
215 S 1ST ST, LEHIGHTON, PA 18235-2163
(610) 377-2490
Mailing address
215 S 1ST ST, LEHIGHTON, PA 18235-2163
(610) 377-2490
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC004246L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020161740001
—
PA
01
—
50804
GEISINGER
PA
Enumeration date
09/04/2006
Last updated
07/18/2011
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