Individual
JAMES WEIR EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 4TH AVE S, SAINT CLOUD, MN 56301-4442
(320) 308-3191
(320) 308-3192
Mailing address
1125 24TH AVE N, SAINT CLOUD, MN 56303-2633
(320) 253-8416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19149
MN
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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