Individual
KARL JAMES EWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2600 KANELL BLVD, POPLAR BLUFF, MO 63901-3001
(573) 785-4546
Mailing address
2401 S 31ST ST # MS -A1202, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2021012663
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2018
Last updated
07/14/2021
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