Individual
LEWIS WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
016004408
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821284506
—
WI
01
—
P01458509
RAILROAD MEDICARE
IL
01
—
P01703994
RAILROAD MEDICARE
WI
Enumeration date
09/17/2007
Last updated
01/22/2019
Update your record
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