Ian Mark Gewin

NPI #1487843694 in Cosby, Missouri

Provider Information

NPI Number: 1487843694
Entity Type: Organization
Organization Name: Ian Mark Gewin
Primary Specialty: Case Management
Enumeration Date: Oct 24, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 16944 COUNTY ROAD 3082
City: Cosby
State: Missouri
ZIP Code: 64436-8107
Phone: (816) 662-2583

Authorized Official

Name: MR. IAN MARK GEWIN, M.S.
Title: OWNER
Phone: (816) 662-2583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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