Individual
GRACE J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, 8TH FLOOR CS MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109-7359
(734) 936-4185
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.096473
OH
208000000X
Pediatrics Physician
4301106985
MI
2080P0206X
Pediatric Gastroenterology Physician
Primary
4301106985
MI
Other
Enumeration date
03/28/2009
Last updated
07/27/2015
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