Individual
MR. MICHAEL MCEWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS OTR
Contact information
Practice address
100 HAVERHILL ST, METHUEN, MA 01844-4241
(978) 682-5276
Mailing address
185 W 5TH ST, #3, SOUTH BOSTON, MA 02127-2611
(857) 496-1353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6954
MA
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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