Individual
DR. JOHN W LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 290, SHELBY TWP, MI 48315-3140
(586) 314-0080
(877) 673-3562
Mailing address
50505 SCHOENHERR RD, SUITE 290, SHELBY TWP, MI 48315-3140
(586) 314-0080
(877) 673-3562
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301062138
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301062138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00425
BLUE CROSS OF MICHIGAN
MI
01
—
290F349720
BLUE CROSS
MI
05
—
4210946
—
MI
Enumeration date
07/12/2006
Last updated
03/11/2025
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