Individual
DARRYL LEWISII
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 HELEN ST, INKSTER, MI 48141-1288
(313) 732-7614
Mailing address
770 HELEN ST, INKSTER, MI 48141-1288
(313) 732-7614
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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