Individual
BRIAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 E SUPERIOR ST, WAYLAND, MI 49348-1146
(269) 519-7249
(269) 792-6523
Mailing address
416 E SUPERIOR ST, WAYLAND, MI 49348-1146
(269) 519-7249
(269) 792-6523
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
MI
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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