Provider Demographics
NPI:1891961900
Name:DUCHARME, ERIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:DUCHARME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:MCKINLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16349 SHERIDAN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-4675
Mailing Address - Country:US
Mailing Address - Phone:515-987-0333
Mailing Address - Fax:833-288-7944
Practice Address - Street 1:16349 SHERIDAN DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325
Practice Address - Country:US
Practice Address - Phone:515-987-0333
Practice Address - Fax:833-288-7944
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-40967207N00000X
IA40967207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology