Individual
JOAN V. EWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13111 N PORT WASHINGTON RD, COLUMBIA-ST. MARY'S, MEQUON, WI 53097-2416
(262) 243-7564
(262) 243-7318
Mailing address
13111 N PORT WASHINGTON RD, COLUMBIA-ST. MARY'S, MEQUON, WI 53097-2416
(262) 243-7564
(262) 243-7318
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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