Provider Demographics
NPI:1205038957
Name:EWINGS, EMBER LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:EMBER
Middle Name:LEE
Last Name:EWINGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 STEIN BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4399
Mailing Address - Country:US
Mailing Address - Phone:157-833-2116
Mailing Address - Fax:715-833-1068
Practice Address - Street 1:3221 STEIN BLVD STE 2
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4399
Practice Address - Country:US
Practice Address - Phone:157-833-2116
Practice Address - Fax:715-833-1068
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI54757-202086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty