Individual
MICHAEL LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
75097
MN
208600000X
Surgery Physician
82427
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824273
—
SC
Enumeration date
06/24/2013
Last updated
09/06/2023
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