Individual
KERMIT R ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 RALSTON AVE, SUITE 205, DEFIANCE, OH 43512-5311
(419) 782-5774
(419) 782-6103
Mailing address
1250 RALSTON AVE, SUITE 205, DEFIANCE, OH 43512-5311
(419) 782-5774
(419) 782-6103
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35077260
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000177993
ANTHEM
OH
01
—
03536
PHC
OH
01
—
0702351
UHC
OH
01
—
160050275
RRMC
OH
05
—
2165688
—
OH
01
—
4228849
AETNA
OH
Enumeration date
08/30/2005
Last updated
04/30/2012
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