Individual
DR. JUAN R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 NICOLLET AVE, STE 101, MINNEAPOLIS, MN 55403-3791
(612) 823-2947
(612) 870-2947
Mailing address
1801 NICOLLET AVE, STE 101, MINNEAPOLIS, MN 55403-3791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10122
ND
Other
Enumeration date
05/24/2006
Last updated
01/06/2021
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