Individual
ERIN BROOKE BARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 ROCK CREEK PKWY, FAIRHOPE, AL 36532-3349
(251) 928-3844
(251) 928-3353
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32559
AL
207R00000X
Internal Medicine Physician
PGY1EKLIM
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004952
—
LA
Enumeration date
08/10/2007
Last updated
01/31/2019
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