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NPI Code Detail

MEDICARE: DR. KRISTAN MERTZ AHLER MD

MEDICARE: DR. KRISTAN MERTZ AHLER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD0000032051TN
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianTN32051(MD)TN

General Provider Information

NPI Number : 1265401483
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTAN MERTZ AHLER MD
Provider Business Mailing Address
First Line : 5301 VIRGINIA WAY STE 300
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-7542
Country : US
Telephone Number : 615-221-4400
Fax Number :
Provider Business Practice Location Address
First Line : 421 S MAIN ST
Second Line :
City : CROSSVILLE
State : TN
Zip : 38555-5048
Country : US
Telephone Number : 931-484-9511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 11/26/2024

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