Individual
MARLA BLAIR KERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3990 JOHN R ST, BOX 162, DETROIT, MI 48201-2018
(313) 745-7233
Mailing address
2115 WATKINS LAKE RD, WATERFORD, MI 48328-1435
(248) 763-7830
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101025706
MI
207LP3000X
Pediatric Anesthesiology Physician
5101025706
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2016
Last updated
08/19/2022
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