Individual
JONATHAN F MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 SUNNYVIEW LN, SUITE 106, KALISPELL, MT 59901-3135
(406) 756-1433
(406) 756-1446
Mailing address
210 SUNNYVIEW LN, SUITE 106, KALISPELL, MT 59901-3135
(406) 756-1433
(406) 756-1446
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10917
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117538
—
MT
01
—
96746
BLUE CROSS OF MT
MT
Enumeration date
06/09/2006
Last updated
10/04/2012
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