Individual
LEE MICHAEL STRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 456-7601
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125066246
IL
208600000X
Surgery Physician
Primary
75477
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174814
—
WI
01
—
125066246
ILLINOIS DEPARTMENT OF FINANCIAL AND PROF. REGULATION, TEMPORARY MEDICAL PERMIT
IL
Enumeration date
06/22/2015
Last updated
07/17/2024
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