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Individual

MR. WINSLOW LEWIS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4195
(406) 258-4180
Mailing address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4195
(406) 258-4180

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
592
MT

Other

Enumeration date
12/23/2009
Last updated
11/10/2011
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