Organization
EDWARD LEWIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LEWIS M.D. (OWNER)
(989) 875-4707
Entity
Organization
Contact information
Practice address
114 N MAIN ST, ITHACA, MI 48847-1132
(989) 875-4707
Mailing address
4449 FASHION SQUARE BLVD, SAGINAW, MI 48603-5217
(989) 790-0007
(989) 790-7547
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301043453
MI
Other
Enumeration date
07/04/2006
Last updated
10/12/2007
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