Individual
MICHAEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
701 18TH AVE NW STE 200, AUSTIN, MN 55912-1850
(763) 689-5385
Mailing address
701 18TH AVE NW STE 200, AUSTIN, MN 55912-1850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
777
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47867LE
BCBS
MN
01
—
6402635
MEDICA
MN
01
—
HP45806
HEALTH PARTNERS
MN
Enumeration date
09/28/2006
Last updated
07/09/2007
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