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Individual
DR. PAUL R EWERT
Active
Individual
DR. PAUL R EWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO 5459
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28616
WELLMARK BCBS OF IA
—
05
—
286161
—
IA
Enumeration date
07/13/2006
Last updated
07/08/2007
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