Individual
DR. BRIAN GERALD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1730
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301115600
MI
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
4301502794
MI
Other
Enumeration date
06/22/2018
Last updated
03/28/2024
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