MEDICARE: STEVEN LEWIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	5101006542	MI
2	208D00000X	General Practice Physician	5101006542	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	036074312	OTHER	IL	IL MEDICAL LICENSE

General Provider Information

NPI Number	:	1710952601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN LEWIN M.D.

Provider Business Mailing Address
First Line	:	3775 ORCHARD LAKE RD APT 103
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48324-1600
Country	:	US
Telephone Number	:	248-408-9023
Fax Number	:	248-681-9187

Provider Business Practice Location Address
First Line	:	3775 ORCHARD LAKE RD APT 103
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48324-1600
Country	:	US
Telephone Number	:	248-408-9023
Fax Number	:	248-681-9187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	11/09/2025

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