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Dr. Edmond Mertzenich, DPM
Podiatrist in Rockford, Illinois
NPI 1558344598

Edmond Mertzenich is a Podiatrist based in Rockford, IL. Edmond Mertzenich practices in Rockford, IL and has the professional credentials of DPM. The NPI Number for Edmond Mertzenich is 1558344598 and holds a License No. 016003825 (Illinois).

The current practice location address for Edmond Mertzenich is 1200 W State St, Rockford, IL and can be reached out via phone at 815-490-1600 and via fax at 815-490-1485. You can also correspond with Edmond Mertzenich through the mailing address at 1200 W. STATE ST, ROCKFORD, IL - 61102-2112 (mailing address contact number: 815-490-1600).

Location: 1200 W State St, Rockford, IL, 61102-2112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558344598
Provider Name
Edmond Mertzenich
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1200 W State St, Rockford, IL, 61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1485
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016003825 05 IL
institution
Provider Business Practice Location Address Details
Address
1200 W State St
City
Rockford
State
Illinois
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1485
person
Provider Business Mailing Address Details
Address
1200 W State St
City
Rockford
State
Illinois
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1485
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016003825 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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