| Doctor Name: | ANDREW WAYNE LEWIS |
| NPI Number: | 1770806010 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01071033A |
| Business Practice Address: | 1000 Wall St Ann Arbor, MI - 481051912 |
| Business Phone Number: | 7347645106 |
| Business Fax Number: | |
| Mailing Address: | 3621 South State Street, 700 Kms Place ANN ARBOR |
| State: | MI |
| Postal Code: | 48108 |
| Phone Number: | 7349362047 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2010 |
| NPI Last Update Date: | 04/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01071033A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |