Individual
MICHAEL KIRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 N UNION ST STE 203, AKRON, OH 44304-1362
(330) 923-3502
(330) 928-9761
Mailing address
601 E MAIN ST, STE 101, MAHOMET, IL 61853-7460
(913) 359-6001
(330) 923-3507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35046690
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000505994
ANTHEM BCBS
OH
05
—
0494488
—
OH
Enumeration date
01/16/2007
Last updated
02/08/2022
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