Edward Lewis MD PC

NPI #1396775318 in Ithaca, Michigan

Provider Information

NPI Number: 1396775318
Entity Type: Organization
Organization Name: Edward Lewis MD PC
Primary Specialty: Surgery
Enumeration Date: Jul 4, 2006
Last Updated: Oct 12, 2007

Practice Location

Address: 114 N MAIN ST
City: Ithaca
State: Michigan
ZIP Code: 48847-1132
Phone: (989) 875-4707

Authorized Official

Name: EDWARD LEWIS, M.D.
Title: OWNER
Phone: (989) 875-4707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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