KODY LEWIS

SUMMIT, WI
NPI1013144393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4672)
Enumeration Date2009-06-15
Last Update Date2021-11-18
Business Address
KODY LEWIS PA C
36500 AURORA DR
SUMMIT, WI 53066-4899
Phone number: 262-434-1000
Mailing Address
KODY LEWIS PA C
36500 AURORA DR
SUMMIT, WI 53066-4899
Phone number: 262-434-1000