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Individual

DR. EDMUND D. ERVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 FIRST PARK DRIVE, STE A, OAKLAND, ME 04963
(207) 873-6183
(207) 873-4344
Mailing address
211 MAIN ST, WATERVILLE, ME 04901-6117
(207) 877-3470
(207) 877-3471

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010650
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107850099
ME
Enumeration date
01/02/2007
Last updated
02/27/2014
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