IndividualActive
Ian Lewis, D.O.
NPI 1053937995 · Nephrology Physician · Milwaukee, WI
Provider details
- NPI number
- 1053937995
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 81109 (WI)
Practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-3100
Fax: (262) 532-9584
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Registry dates
- Enumerated
- 2020-06-16
- Last updated
- 2025-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.