Individual
DR. ROGER LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
1024 DONMAR CT, BIRMINGHAM, MI 48009-2965
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301085031
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RL085031
BC/BS OF MICHIGAN
MI
Enumeration date
06/08/2006
Last updated
07/08/2007
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