EDMOND MERTZENICH

ROCKFORD, IL
NPI1558344598
Professional NameEDMOND MERTZENICH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: IL  016003825)
Enumeration Date2005-11-23
Last Update Date2012-07-30
Business Address
Dr. EDMOND MERTZENICH DPM
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
Mailing Address
Dr. EDMOND MERTZENICH DPM
1200 W. STATE ST CRUSADER COMMUNITY HEALTH
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600