Individual
DR. DOUGLAS WONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28455 HAGGERTY RD, STE 200, NOVI, MI 48377-2982
(248) 893-3200
(248) 893-2950
Mailing address
DEPT CH 17876, PALATINE, IL 60055-0001
(248) 893-3200
(248) 893-2950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301033409
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4212181
—
MI
Enumeration date
10/12/2005
Last updated
08/03/2009
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