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1669428900

NPI Code Detail

MEDICARE: EWEN CURRIER MC EWEN MD

MEDICARE: EWEN CURRIER MC EWEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	35046424M	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	9300100256	OTHER	OH	MEDICARE RR-GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	942460636252	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1669428900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EWEN CURRIER MC EWEN MD

Provider Business Mailing Address
First Line	:	2830 E OVERLOOK RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2432
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18697 BAGLEY RD
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-3417
Country	:	US
Telephone Number	:	440-816-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	07/08/2007

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Directions to “ EWEN CURRIER MC EWEN MD” Practice Location

Language	Start Address	Practice Location

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