Individual
DR. STEVEN MCEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6226 14TH AVE, KENOSHA, WI 53143-4413
(262) 656-0044
Mailing address
6226 14TH AVE, KENOSHA, WI 53143-4413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6698-15
WI
Other
Enumeration date
05/11/2011
Last updated
06/01/2011
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