Individual
JOHN P EWONUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 636-1131
Mailing address
PO BOX 5789, LONGVIEW, TX 75608-5789
(903) 663-4800
(419) 223-2726
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34.006160
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000135706
ANTHEM BCBS
OH
05
—
0165780
—
OH
05
—
4107426
—
MI
05
—
4298373
—
MI
05
—
4298382
—
MI
Enumeration date
03/09/2006
Last updated
04/15/2025
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