ROGER EWALD

CHAMPAIGN, IL
NPI1598908733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: IL  036043360)
Enumeration Date2009-04-17
Last Update Date2009-04-17
Business Address
ROGER EWALD M.D.
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-403-5401
Mailing Address
ROGER EWALD M.D.
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-403-5401
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