IndividualActive
Kevan Lewis, MD
NPI 1497970560 · MOHS-Micrographic Surgery Physician · Green Bay, WI
Provider details
- NPI number
- 1497970560
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 53110-20 (WI)
Practice location
3059 Voyager Dr
Green Bay, WI 54311-8303
Phone: (920) 965-0345
Fax: (920) 257-4559
Mailing address
2221 S Webster Ave
Green Bay, WI 54301-2158
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.