Individual
DR. STEPHEN WILLIAM LEWELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
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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