Individual
DR. EDWARD KERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3860 CRATER LAKE AVE, MEDFORD, OR 97504-9741
(541) 858-1003
(541) 858-1091
Mailing address
3860 CRATER LAKE AVE, MEDFORD, OR 97504-9741
(541) 858-1003
(541) 858-1091
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD18405
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056700
—
OR
Enumeration date
05/31/2005
Last updated
07/10/2020
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