Individual
MICHAEL EWANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, LOVELAND, CO 80538-9004
(970) 624-2500
Mailing address
2441 S 800 E, SALT LAKE CITY, UT 84106-1785
(801) 641-2791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10197649-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
C-APN.0100302-C-CRNA
CO
Other
Enumeration date
09/15/2022
Last updated
01/10/2023
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