Individual
DR. STEPHEN WILLIAM LEWELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3750 CORPORATE AVE, PLOVER, WI 54467-3566
(715) 391-9774
(917) 277-4883
Mailing address
3002 N 7TH ST, WAUSAU, WI 54403-3003
(715) 391-9774
(917) 277-4883
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
65601
MN
207N00000X
Dermatology Physician
Primary
75498-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2016
Last updated
05/02/2024
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