Individual
MICHAEL MARTIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
10349 34TH ST NE, SAINT MICHAEL, MN 55376-8488
(559) 770-1787
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
2010-01706
NC
207Q00000X
Family Medicine Physician
2010-01706
NC
207R00000X
Internal Medicine Physician
Primary
2010-01706
NC
Other
Enumeration date
06/16/2009
Last updated
02/25/2025
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