Individual
LEWIS ANTHONY STONEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7800 W OUTER DR STE 300, DETROIT, MI 48235-3458
(248) 378-8955
Mailing address
27085 GRATIOT AVE STE 101, ROSEVILLE, MI 48066-2984
(586) 204-5560
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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