Individual
DR. MICHAEL WON KYU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22250 PROVIDENCE DR STE 206, SOUTHFIELD, MI 48075-6210
(248) 709-4430
Mailing address
2392 LAKE ANGELUS LN, LAKE ANGELUS, MI 48326-1008
(248) 621-9777
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301065895
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301065895
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3282501
—
MI
Enumeration date
04/28/2006
Last updated
03/19/2025
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