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1598908733
ROGER EWALD
CHAMPAIGN, IL
NPI
1598908733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IL 036043360)
Enumeration Date
2009-04-17
Last Update Date
2009-04-17
Business Address
-- ROGER EWALD M.D.
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-403-5401
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Mailing Address
-- ROGER EWALD M.D.
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-403-5401
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