Individual
DR. JEFFREY D. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3317
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36348
WI
207Q00000X
Family Medicine Physician
36348-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32103000
—
WI
Enumeration date
10/10/2005
Last updated
09/28/2016
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