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1295099174
KYLE MICHEAL LEWIS
GRAND RAPIDS, MI
NPI
1295099174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 4301101548)
Enumeration Date
2012-06-26
Last Update Date
2018-02-20
Business Address
KYLE MICHEAL LEWIS M.D.
25 MICHIGAN ST NE SUITE 2200
GRAND RAPIDS, MI 49503-2515
Phone number: 616-391-3245
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Mailing Address
KYLE MICHEAL LEWIS M.D.
PO BOX 636256 CENTRAL CREDENTIALING
CINCINNATI, OH 45263-6256
Phone number: 513-245-3107
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