MIKIEL EWIDA

VINCENNES, IN
NPI1417726779
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: IN  75000159A)
Enumeration Date2023-12-28
Last Update Date2024-01-02
Business Address
MIKIEL EWIDA
520 S 7TH ST
VINCENNES, IN 47591-1038
Phone number: 812-882-5220
Mailing Address
MIKIEL EWIDA
415 DALEWOOD DR
VINCENNES, IN 47591-3894
Phone number:
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