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Individual

DAVID S LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3600
(701) 234-3528
Mailing address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3600
(701) 234-3528

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10009
ND

Other

Enumeration date
07/18/2006
Last updated
11/28/2011
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