Dr. Stephen William Lewellis, MD, PHD

Individual provider Dermatology Physician · NPI 1891152641

Dr. Stephen William Lewellis, MD, PHD is a Dermatology in Plover, Wisconsin. Qualified in 2013, 13 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying: 13
Licensed in: MN, WI
In the registry since: 2016
Specialties on file: 3

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.
PHD — Doctor of Philosophy: A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3750 Corporate Ave
Plover, WI 54467-3566
Phone: (715) 391-9774
Fax: (917) 277-4883

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

9555 Upland Ln N, Maple Grove, MN 55369 — (952) 993-1440
5121 S Cottonwood St, Murray, UT 84107-5701 — (801) 507-7000
425 Pine Ridge Blvd Ste 305, Wausau, WI 54401-4124 — (715) 847-2626

Specialties & licences

Dermatology Physician (primary)	Taxonomy 207N00000X · Licence 75498-20 (WI)
Dermatology Physician	Taxonomy 207N00000X · Licence 65601 (MN)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1891152641
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD , PHD
Sole proprietor	No
NPI enumerated	January 25, 2016
Last updated in NPPES	May 2, 2024
Certification date	April 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	DERMATOLOGY
Medical school	OTHER
Graduated	2013 (13 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount