Individual
DR. PAUL SCOTT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2620 STEWART AVE, SUITE 216, WAUSAU, WI 54401-4170
(715) 842-3506
Mailing address
2620 STEWART AVE, SUITE 216, WAUSAU, WI 54401-4170
(715) 842-3506
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3615
WI
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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