# DAVID JEWISON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003075383
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 125.053428 | IL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 57581 | MN | Yes |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | 261QM1300X | MN | — |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 09/18/2026