Individual
STEVEN ISAAC LEWALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46212 BARRINGTON RD, PLYMOUTH, MI 48170-3503
(734) 451-1836
Mailing address
14425 N SHELDON RD, PLYMOUTH, MI 48170-2407
(734) 451-8815
(734) 451-8773
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
4301030985
MI
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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