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Kevan G Lewis, MD
MOHS-Micrographic Surgery Physician in Green Bay, Wisconsin
NPI 1497970560

Kevan G Lewis is a MOHS-Micrographic Surgery Physician based in Green Bay, WI and is specialized in MOHS-Micrographic Surgery. Kevan G Lewis practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Kevan G Lewis is 1497970560 and holds a License No. 53110-20 (Wisconsin).

The current practice location address for Kevan G Lewis is 3059 Voyager Dr, Green Bay, WI and can be reached out via phone at 920-965-0345 and via fax at 920-257-4559. You can also correspond with Kevan G Lewis through the mailing address at 2221 S WEBSTER AVE, GREEN BAY, WI - 54301-2158 (mailing address contact number: 920-965-0345).

Location: 3059 Voyager Dr, Green Bay, WI, 54301-2158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497970560
Provider Name
Kevan G Lewis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3059 Voyager Dr, Green Bay, WI, 54301-2158
Phone Number
920-965-0345
Fax Number
920-257-4559
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ENROLLED 05 IA
P00787809 01 MN RAILROAD MEDICARE
1497970560 05 WI
53110-020 01 WI STATE LICENSE
ENROLLED 05 MN
institution
Provider Business Practice Location Address Details
Address
3059 Voyager Dr
City
Green Bay
State
Wisconsin
Zip
54311-8303
Phone Number
920-965-0345
Fax Number
920-257-4559
person
Provider Business Mailing Address Details
Address
2221 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-2158
Phone Number
920-965-0345
Fax Number
920-273-6011
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
51745 (Minnesota)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
53110-20 (Wisconsin)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
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