NPI 1083583298

Jim Edwin Ewoldt

Practitioner Specialist Sioux City, IA

Practice location

Address: 4501 Southern Hills Dr STE 18, Sioux City, IA 51106-4743
Phone: (712) 276-8087

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1083583298
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Nov 2025
Record last updated: 4 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.