Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | D0077202 | MD |
NPI | 1033316823 |
---|---|
Provider Name | Dr. Erin L Spillane |
First Address | Berlin, MD 21811-1215 |
Second Address | Berlin, MD 21811-1215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 09/06/2015 |