Mertz, Taylor Grant

Mertz, Taylor Grant is an individual health care provider with primary practice located at 801 Belsly Blvd , Moorhead MN 56560-5055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mertz, Taylor Grant can be contacted via phone (218) 364-6800.

Contact Information

Primary practice address
801 Belsly Blvd Moorhead MN 56560-5055
Phone: (218) 364-6800
Fax: (218) 233-9267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 59493 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13729 North Dakota

Profile Details

NPI number 1285926360
LBN Legal business name Mertz, Taylor Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2011
Last updated Dec 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285926360 NPPES
Wisconsin MEDICAID 1285926360

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