Individual
DR. MITCHELL L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35977
CO
207P00000X
Emergency Medicine Physician
Primary
50980-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359777
—
CO
05
—
34974100
—
WI
Enumeration date
05/06/2006
Last updated
11/23/2020
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