Individual
FREDERICK C EWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
97 CASTLE PEAK GATE, EDWARDS, CO 81632
(970) 926-8701
Mailing address
PO BOX 4657, EDWARDS, CO 81632-4657
(970) 926-8701
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30535
MA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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