Individual
JONATHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
44601 HIGHLAND PL, FREMONT, CA 94539-6251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301110411
MI
2085R0202X
Diagnostic Radiology Physician
Primary
335473
NY
2085R0202X
Diagnostic Radiology Physician
MD61266281
WA
Other
Enumeration date
08/10/2016
Last updated
05/12/2025
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