Dr. Jesse Michael Ewald, M.D.
Hospitalist in Newark, OH. Individual provider (NPI-1).
NPI number1104196591
StatusActive
Last updated in NPPESMar 7, 2025
Details
- NPI
- 1104196591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jesse Michael Ewald
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2012
- Certification date
- Mar 7, 2025
- Last updated
- Mar 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 35.124055 | OH | Yes |
| 207R00000X | Internal Medicine | 35.124055 | OH |
Practice location
1320 W. Main StNewark, OH 43055
Phone 220-564-1791 · Fax 220-564-1790
Mailing address
1320 W. Main StNewark, OH 43055
Phone 220-564-1791 · Fax 220-564-1790
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