Ewen, Marven G

Ewen, Marven G is an individual health care provider with primary practice located at 15290 Pennock Ln , Apple Valley MN 55124-7163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ewen, Marven G can be contacted via phone (952) 431-8500.

Contact Information

Primary practice address
15290 Pennock Ln Apple Valley MN 55124-7163
Phone: (952) 431-8500
Fax: (952) 431-8598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37117 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37117 Minnesota

Profile Details

NPI number 1932178431
LBN Legal business name Ewen, Marven G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 2nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932178431 NPPES
Minnesota MEDICAID 892219500
Minnesota Other HP13252
Minnesota Other 41686EEW
Minnesota Other 080170657

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