Individual
MICHAEL S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12499 UNIVERSITY AVE, SUITE 210, DES MOINES, IA 50325-8281
(515) 440-2676
(515) 440-2677
Mailing address
12499 UNIVERSITY AVE, SUITE 210, DES MOINES, IA 50325-8281
(515) 440-2676
(515) 440-2677
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00693
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1187369
—
IA
01
—
38111
WELLMARK BLUE SHIELD
—
01
—
P00224046
RAILROAD MEDICARE
IA
Enumeration date
04/19/2006
Last updated
01/23/2013
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