Edward Lewis Md Pc

NPI 1396775318 - Surgery - 208600000X

NPI Details
NPI 1396775318
Enumeration Date 07/04/2006
Last Updated 10/12/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EDWARD EDWARD
Position OWNER
Phone (989) 875-4707
Fax
Practice Location
114 N MAIN ST
ITHACA MI, 48847-1132, US
Phone (989) 875-4707
Fax
Business Location
4449 FASHION SQUARE BLVD
SAGINAW MI, 48603-5217, US
Phone (989) 790-0007
Fax (989) 790-7547
Toxanomy
Taxonomy Code 208600000X
License State Michigan
License Number 4301043453
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According to our database, Edward Lewis Md Pc NPI is 1396775318, taxonomy code is 208600000X and license number is 4301043453, license state is located at Michigan. Edward Lewis Md Pc physically located at 114 N Main St, Ithaca MI, 48847-1132. NPI Number 1033115704 has the healthcare provider type.

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1396775318 NPI number is provided on an as is basis without warranty of any kind. 1396775318 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Lewis Md Pc are for informational purposes only.