RUSSELL LEWIS

WAUPACA, WI
NPI1255367025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  4937420)
Enumeration Date2006-06-24
Last Update Date2008-05-27
Business Address
-- RUSSELL LEWIS MD
190 GRAND SEASONS DR
WAUPACA, WI 54981-8219
Phone number: 715-258-3650
Mailing Address
-- RUSSELL LEWIS MD
900 ILLINOIS AVENUE
STEVENS POINT, WI 54481
Phone number: 715-346-5000