Individual
DR. GIDEON ISAAC LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201-2153
(313) 745-9649
Mailing address
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201-2153
(313) 745-9649
(734) 793-2471
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
06/20/2025
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