Individual
MR. CHARLES SCOTT LEWIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11726 ROSEMARY ST, DETROIT, MI 48213-1349
(313) 808-5898
Mailing address
11726 ROSEMARY ST, DETROIT, MI 48213-1349
(313) 808-5898
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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