Individual
WILFRED LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4914
(573) 331-3350
(573) 331-3351
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R3J09
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202633418
—
MO
01
—
P00972003
RR MEDICARE
MO
Enumeration date
02/06/2007
Last updated
03/01/2021
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