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Contact Information

RANDALL G EWALD, MD
5200 FAIRVIEW BLVD
WYOMING, MN55092-8013
 Phone: 651-982-7659
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RANDALL G EWALD · (Male)

NPI # 1407807696
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2006
Last updated 06/16/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 29852
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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