Individual
JASON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(608) 498-8884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9361-33
WI
Other
Enumeration date
06/17/2019
Last updated
03/30/2021
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