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Organization
JAE YOUNG LEE MD PC
Active
Organization
JAE YOUNG LEE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE YOUNG LEE MD PC (OWNER)
(810) 765-8844
Entity
Organization
Contact information
Practice address
130 WASHINGTON ST, MARINE CITY, MI 48039-1680
(810) 765-8844
(810) 765-4326
Mailing address
130 WASHINGTON ST, MARINE CITY, MI 48039-1680
(810) 765-8844
(810) 765-4326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301033400
MI
Other
Enumeration date
05/23/2008
Last updated
12/29/2010
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