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Individual
DR. BRUCE ALAN MERWIN
Active
Individual
DR. BRUCE ALAN MERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
35052690M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119478
ANTHEM
OH
01
—
029415600
BLACK LUNG
OH
05
—
0703359
—
OH
01
—
311294756005
MEDICAL MUTUAL
OH
01
—
360002962
RAILROAD MADICARE
OH
Enumeration date
07/07/2005
Last updated
05/13/2021
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