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Individual

YOUNG HAE LEE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
265 FREMONT ST, SUITE 1, BATTLE CREEK, MI 49017-3354
(269) 962-6223
(269) 962-9309
Mailing address
265 FREMONT ST, SUITE 1, BATTLE CREEK, MI 49017-3354
(269) 962-6223
(269) 962-9309

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301031495
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0137069
BLUE CROSS BLUE SHIELD PI
MI
05
1062320
MI
01
12-31334
UNITED HEALTH CARE
MI
01
5126087
AETNA
MI
Enumeration date
03/24/2006
Last updated
07/09/2007
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