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NPI Code Detail

MEDICARE: RONALD D KERWIN MD PC

MEDICARE: RONALD D KERWIN MD PC
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
1207N00000XDermatology PhysicianRK044088MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OF37225OTHERBC

General Provider Information

NPI Number : 1992754485
Entity Type Code : Organization
Provider Name (Legal Business Name) : RONALD D KERWIN MD PC
Provider Business Mailing Address
First Line : 6330 ORCHARD LAKE RD
Second Line : #120
City : WEST BLOOMFIELD
State : MI
Zip : 48322-2398
Country : US
Telephone Number : 248-855-3366
Fax Number : 248-855-6213
Provider Business Practice Location Address
First Line : 6330 ORCHARD LAKE RD
Second Line : #120
City : WEST BLOOMFIELD
State : MI
Zip : 48322-2398
Country : US
Telephone Number : 248-855-3366
Fax Number : 248-855-6213
Authorized Official
Title or Position : PRESIDENT
Name : RONALD KERWIN
Credential :
Telephone Number : 248-855-3366
Provider Enumeration Date : 05/10/2006
Last Update Date : 11/18/2020

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Directions to “RONALD D KERWIN MD PC ” Practice Location

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