Individual
CHRISTOPHER ONEIL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17859 MOUNT VERNON ST, SOUTHFIELD, MI 48075-8010
(313) 794-6449
Mailing address
17859 MOUNT VERNON ST, SOUTHFIELD, MI 48075-8010
(313) 794-6449
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
L200115662765
MI
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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