Individual
DR. JAMES S LEWERENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1467 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2653
(248) 548-3060
(248) 548-3078
Mailing address
1467 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2653
(248) 548-3060
(248) 548-3078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013482
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131589
CARE-PREFERRED CHOICES
MI
05
—
1952385700
—
MI
01
—
5631232
BCBS INDIVIDUAL
MI
01
—
700H217350
BLUE SHIELD
MI
01
—
G82387
HAP
MI
Enumeration date
12/05/2005
Last updated
02/16/2011
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