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Individual

DAVID EWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(952) 967-7977
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
59126
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/12/2012
Last updated
07/21/2023
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