MEDICARE: DR. ROBERT EDWARD ERWIN M.D.

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
1	208D00000X	General Practice Physician	G084948	CA

General Provider Information

NPI Number	:	1184776395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT EDWARD ERWIN M.D.

Provider Business Mailing Address
First Line	:	3125 SAINT HELENA HWY N
Second Line	:
City	:	SAINT HELENA
State	:	CA
Zip	:	94574-9706
Country	:	US
Telephone Number	:	707-287-2286
Fax Number	:	707-963-4010

Provider Business Practice Location Address
First Line	:	3125 SAINT HELENA HWY N
Second Line	:
City	:	SAINT HELENA
State	:	CA
Zip	:	94574-9706
Country	:	US
Telephone Number	:	707-287-2286
Fax Number	:	707-963-4010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/08/2007

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