# JOHN R EWING

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

## Provider details

- **NPI number:** 1053378331
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 47760-20 | WI | Yes |

## Other

- **Enumeration date:** 04/28/2006
- **Last updated:** 12/06/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2014182 | PHYSICIANS PLUS | WI |
| 05 | — | 34628600 | — | WI |
| 01 | — | 60427 | DEAN HEALTH INSURANCE | WI |