Individual
DR. BRIAN D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, VASCULAR SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-9160
(414) 805-9170
Mailing address
9200 W WISCONSIN AVE, VASCULAR SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-9160
(414) 805-9170
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
40189
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000018557Q
HUMANA
—
05
—
1205888948
—
WI
Enumeration date
05/17/2006
Last updated
02/09/2021
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