Individual
DR. MERLE L TEETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4611
ND
2084N0400X
Neurology Physician
Primary
21870
WI
Other
Enumeration date
08/24/2006
Last updated
07/31/2012
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