Individual
DAVID JEWISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3205
(612) 884-0406
Mailing address
720 WASHINGTON AVE SE, SUITE 300, MINNEAPOLIS, MN 55414-2924
(763) 782-6400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.053428
IL
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
261QM1300X
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107369
MINNESOTA MEDICAL LICENSE NUMBER
MN
Enumeration date
06/03/2008
Last updated
01/30/2014
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