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Individual

DR. CHOON K LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18101 OAKWOOD BLVD, DEPT RADIOATION ONCOLOGY LOWER LEVEL, DEARBORN, MI 48124-4089
(313) 593-7337
(313) 593-8844
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5970

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301035511
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125079
CARE CHOICES
MI
01
300108768
RR MEDICARE
05
423248910
MI
01
CL035511
BCBS
MI
Enumeration date
06/13/2006
Last updated
11/04/2013
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