Provider Demographics
NPI:1073518981
Name:ERWIN, WINFORD ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:WINFORD
Middle Name:ROBERT
Last Name:ERWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N CURRY PIKE
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-2593
Mailing Address - Country:US
Mailing Address - Phone:812-339-9980
Mailing Address - Fax:812-349-4007
Practice Address - Street 1:100 N CURRY PIKE
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-2593
Practice Address - Country:US
Practice Address - Phone:812-339-9980
Practice Address - Fax:812-349-4007
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01018763A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1073518981OtherNPI
IND69681Medicare UPIN
IN090220CMedicare PIN