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Individual

DEBRA J EWING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02004337A
IN
207Q00000X
Family Medicine Physician
036126087
IN
207Q00000X
Family Medicine Physician
13430
CA
207Q00000X
Family Medicine Physician
Primary
46938-021
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0361260872
IL
01
1619984127
BCBSWI
WI
05
1619984127
WI
01
EWINGDEB
MERCYCARE INSURANCE
WI
Enumeration date
08/01/2006
Last updated
05/18/2016
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