Individual
BRUCE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-9943
(715) 838-5222
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
85412
WI
207V00000X
Obstetrics & Gynecology Physician
ME162449
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2019
Last updated
08/25/2025
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