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1013144393
KODY LEWIS
SUMMIT, WI
NPI
1013144393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4672)
Enumeration Date
2009-06-15
Last Update Date
2021-11-18
Business Address
KODY LEWIS PA C
36500 AURORA DR
SUMMIT, WI 53066-4899
Phone number: 262-434-1000
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Mailing Address
KODY LEWIS PA C
36500 AURORA DR
SUMMIT, WI 53066-4899
Phone number: 262-434-1000
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