| Doctor Name: | MR. JEFFREY S REWITZER |
| NPI Number: | 1306874961 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 5901001389 |
| Business Practice Address: | 1450 Farr Rd Norton Shores, MI - 494449738 |
| Business Phone Number: | 2317397606 |
| Business Fax Number: | 2318309896 |
| Mailing Address: | 4540 Kalamazoo Ave Se, KENTWOOD |
| State: | MI |
| Postal Code: | 495084625 |
| Phone Number: | 6162810666 |
| Fax Number: | 6162810752 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 05/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 5901001389 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |