Organization
JENNIFER M. LEWISTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MICHELLE LEWISTON M.D. (MEDICAL DOCTOR)
(248) 709-1177
Entity
Organization
Contact information
Practice address
42536 HAYES RD STE 100, CLINTON TWP, MI 48038-3644
(586) 286-9644
Mailing address
42536 HAYES RD STE 100, CLINTON TWP, MI 48038-3644
(586) 286-9644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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