Individual
ANTHONY JOSEPH EWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 POLARIS PKWY, STE 3400, WESTERVILLE, OH 43082-7989
(614) 588-0020
(614) 588-0031
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35092666
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2916330
—
OH
Enumeration date
08/16/2007
Last updated
12/22/2021
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