Matthew Wayne McEwen, MD
Dermatology in Lees Summit, MO. Individual provider (NPI-1).
NPI number1730686643
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1730686643
- Entity type
- Individual (NPI-1)
- Name
- Matthew Wayne McEwen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2018
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 2024001826 | MO | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 2024001826 | MO |
Practice location
276 Ne Tudor RdLees Summit, MO 64086-5696
Phone 816-525-8500
Mailing address
276 Ne Tudor RdLees Summit, MO 64086-5696
Phone 816-525-8500
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All 11 Dermatology Physician providers in Lees Summit · All 2,759 providers in Lees Summit
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