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NPI Code Detail

MEDICARE: DR. GLENN E MERZ MD

MEDICARE:  DR. GLENN E MERZ  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
1207Q00000XFamily Medicine PhysicianGM054275MI

General Provider Information

NPI Number : 1003819400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLENN E MERZ MD
Provider Business Mailing Address
First Line : PO BOX 1848
Second Line :
City : MUSKEGON
State : MI
Zip : 49443-1848
Country : US
Telephone Number : 231-727-4444
Fax Number : 231-727-4451
Provider Business Practice Location Address
First Line : 1675 LEAHY ST
Second Line : STE 301
City : MUSKEGON
State : MI
Zip : 49442-5543
Country : US
Telephone Number : 231-728-5007
Fax Number : 231-728-5014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 02/03/2011

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Directions to “ DR. GLENN E MERZ MD” Practice Location

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