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Karl James Ewert, DPM

Podiatrist in Poplar Bluff, MO. Individual provider (NPI-1).

NPI number1982109112
StatusActive
Last updated in NPPESJul 14, 2021

Details

NPI
1982109112
Entity type
Individual (NPI-1)
Name
Karl James Ewert
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2018
Certification date
Jul 14, 2021
Last updated
Jul 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist2021012663MOYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2600 Kanell Blvd
Poplar Bluff, MO 63901-3001

Phone 573-785-4546

Mailing address

2401 S 31st St # Ms -A1202
Temple, TX 76508-0001

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Other Podiatrist providers in Poplar Bluff, MO

All 7 Podiatrist providers in Poplar Bluff · All 1,814 providers in Poplar Bluff

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