Individual
JAMES M. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3711 STATE HIGHWAY 42, FISH CREEK, WI 54212-9630
(920) 868-3511
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 746-0510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16028
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31191500
—
WI
Enumeration date
08/05/2006
Last updated
02/21/2014
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