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Individual
MR. MATTHEW R EWERLING
Active
Individual
MR. MATTHEW R EWERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03764
NC
363A00000X
Physician Assistant
014536-1
NY
Other
Enumeration date
05/08/2012
Last updated
12/31/2012
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