Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 54757-20 | WI |
NPI | 1205038957 |
---|---|
Provider Name | Dr. Ember Lee Ewings |
First Address | Eau Claire, WI 54701-4399 |
Second Address | Eau Claire, WI 54701-4399 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 31/12/2020 |