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Individual

DR. BRUCE ALAN MERWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620B MORRISON RD, GAHANNA, OH 43230-5327
(614) 944-4770
(614) 944-4771
Mailing address
5130 MANCHESTER DR, ZANESVILLE, OH 43701-9090
(740) 455-9374

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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