Individual
DR. SCOTT R. EWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
376 CLEAR LAKE RD, MANITOWISH WATERS, WI 54545-9318
(715) 543-2872
Mailing address
376 CLEAR LAKE RD, MANITOWISH WATERS, WI 54545-9318
(715) 543-2872
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4001675-15
WI
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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