Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 35.126953 | OH |
Y | 2080P0210X | Pediatric Nephrologist | 64595 | MN |
NPI | 1972746568 |
---|---|
Provider Name | Dr. Scott Thomas Mcewen |
First Address | Cleveland, OH 44106-1716 |
Second Address | Minneapolis, MN 55454-1404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2009 |
Last Update Date | 18/09/2018 |