Individual
SHANNA EWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 N STATE ROAD 15, WARSAW, IN 46582-7750
(574) 306-3122
(574) 306-3124
Mailing address
3800 N STATE ROAD 15, WARSAW, IN 46582
(574) 306-3122
(574) 306-3124
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
24006392A
IN
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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