Individual
DR. IAN ZACHARY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(262) 532-9584
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(262) 532-9584
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
81109
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053937995
—
WI
Enumeration date
06/16/2020
Last updated
07/03/2025
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