Individual
FREDDIE J. MERTZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(262) 647-5000
Mailing address
1224 N PROSPECT AVE APT 7S, MILWAUKEE, WI 53202-3001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7889-33
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
7889-33
WI
Other
Enumeration date
08/11/2017
Last updated
09/25/2017
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