Dr. Edmond Mertzenich is a Rockford, Illinois based male podiatrist who is specialized in Podiatry. Active license number of Dr. Edmond Mertzenich for Podiatry is 016003825 in Illinois. Dr. Edmond Mertzenich is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Edmond Mertzenich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
1200 W State St, Rockford, Illinois, 61102-2112
Phone:
815-490-1600
Fax:
815-490-1485
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1558344598
NPI Enumeration Date:
23 Nov, 2005
NPI Last Update On:
30 Jul, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edmond Mertzenich are as mentioned below.
License Number
Specialization
State
Status
016003825
Podiatry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edmond Mertzenich such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016003825
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1200 W. State St, Crusader Community Health Rockford, Illinois
Zip:
61102-2112
Phone Number:
815-490-1600
Fax Number:
815-490-1485
Patients can reach Dr. Edmond Mertzenich at 1200 W State St, Rockford, Illinois or can call to book an appointment on 815-490-1600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.