Russell Lewis JR., MD

NPI #1255367025 in Waupaca, Wisconsin

Provider Information

NPI Number
1255367025
Entity Type
Individual
Name
Russell Lewis JR., MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Jun 24, 2006
Last Updated
May 27, 2008

Practice Location

Address
190 GRAND SEASONS DR
ZIP Code
54981-8219
Phone
(715) 258-3650

Specialties & Taxonomy Codes

Specialty
Family Medicine

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