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Individual
JOHN R EWING
Active
Individual
JOHN R EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
47760-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014182
PHYSICIANS PLUS
WI
05
—
34628600
—
WI
01
—
60427
DEAN HEALTH INSURANCE
WI
Enumeration date
04/28/2006
Last updated
12/06/2018
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