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Contact Information

BRIAN G LEWIS, MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI49503-2560
 Phone: 616-391-1730
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BRIAN G LEWIS · (Male)

NPI Number 1356836316
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2018
Last updated 03/28/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301115600
  • MI License # 4301502794
Hospital affiliation(s)
  • BANNER DESERT MEDICAL CENTER - (Acute Care)
    1400 SOUTH DOBSON ROAD
    MESA, AZ 85202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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