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Individual

MR. THOMAS M. LEWANDOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C MPAS

Contact information

Practice address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-4400
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-4400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001925
IA
363A00000X
Physician Assistant
Primary
10931
MN
363AS0400X
Surgical Physician Assistant
001925
IA

Other

Enumeration date
07/10/2008
Last updated
11/19/2020
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