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Derek Ewald, ATC
NPI 1538177696 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1960 S 11th St
Niles, MI 49120 - Phone
- (268) 683-6800
- Fax
- (269) 683-6888
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan