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NPI Code Detail

MEDICARE: DR. MATTHEW JOHN MERFELD D.D.S.

MEDICARE:  DR. MATTHEW JOHN MERFELD  D.D.S.
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
1122300000XDentistD13688MN

General Provider Information

NPI Number : 1558718585
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW JOHN MERFELD D.D.S.
Provider Business Mailing Address
First Line : 5039 HIGHWAY 52 N
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-0166
Country : US
Telephone Number : 507-282-7905
Fax Number : 507-286-9382
Provider Business Practice Location Address
First Line : 5039 HIGHWAY 52 N
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-0166
Country : US
Telephone Number : 507-282-7905
Fax Number : 507-286-9382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2016
Last Update Date : 03/09/2017

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Directions to “ DR. MATTHEW JOHN MERFELD D.D.S.” Practice Location

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