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NPI Code Detail

MEDICARE: DANIEL E MERSCH OD

MEDICARE:   DANIEL E MERSCH  OD
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
1152W00000XOptometrist02014IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
212969OTHERIAWELLMARK
3235466OTHERIAMIDLANDS CHOICE
473206OTHERIACOVENTRY

General Provider Information

NPI Number : 1619947900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL E MERSCH OD
Provider Business Mailing Address
First Line : PO BOX 217
Second Line :
City : MANCHESTER
State : IA
Zip : 52057-0217
Country : US
Telephone Number : 563-927-3682
Fax Number : 563-927-6397
Provider Business Practice Location Address
First Line : 1214 W MAIN ST
Second Line :
City : MANCHESTER
State : IA
Zip : 52057-2305
Country : US
Telephone Number : 563-927-3682
Fax Number : 563-927-6397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 02/08/2016

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Directions to “ DANIEL E MERSCH OD” Practice Location

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