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Organization
LEE MEDICAL CLINIC SC
Active
Organization
LEE MEDICAL CLINIC SC
Active
Other names
Legal Business Name
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHA LEE MD (DOCTOR OWNER)
(414) 616-8901
Entity
Organization
Contact information
Practice address
7114 W. CAPITOL DRIVE, MILWAUKEE, WI 53216
(414) 616-8901
(414) 616-8906
Mailing address
7114 W CAPITOL DR, MILWAUKEE, WI 53216-2052
(414) 616-8901
(414) 616-8906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42508020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34066500
—
WI
Enumeration date
09/21/2006
Last updated
10/04/2010
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