Organization
HEALTH AND WELLNESS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK K LEWERENZ D.O. (MANAGER)
(248) 419-5514
Entity
Organization
Contact information
Practice address
30160 ORCHARD LAKE RD, SUITE 100, FARMINGTON HILLS, MI 48334-2293
(248) 419-5514
(248) 419-5515
Mailing address
30160 ORCHARD LAKE RD, SUITE 100, FARMINGTON HILLS, MI 48334-2293
(248) 419-5514
(248) 419-5515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006349
MI
Other
Enumeration date
09/18/2010
Last updated
02/10/2011
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