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Individual

BRIAN W LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
N16W24131 RIVERWOOD DR, WAUKESHA, WI 53188-1106
(262) 696-0808
(262) 696-0965
Mailing address
185 S ORANGE AVE, MEDICAL SCIENCE BUILDING H-576, NEWARK, NJ 07103-2757
(973) 972-6255
(973) 972-5877

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
67764
WI
207R00000X
Internal Medicine Physician
LP02938
RI

Other

Enumeration date
06/06/2013
Last updated
07/21/2022
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