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Individual

CHONG CHIN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3501 CRANBERRY BLVD, WESTON, WI 54476
(715) 847-3600
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
43570
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
43570
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34124400
WI
Enumeration date
09/25/2006
Last updated
03/03/2010
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