Individual
MICHAEL S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB NINTH FLOOR, CLINIC 9A, MINNEAPOLIS, MN 55455-0356
(612) 625-4400
Mailing address
420 DELAWARE ST SE, MMC 493-UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-4400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
47966
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00146149
—
MT
05
—
0594085
—
IA
01
—
08-00043
MEDICA-PRIMARY
MN
01
—
08-01327
MEDICA-CHOICE
MN
01
—
1044742
PREFERRED ONE
MN
01
—
135161
UCARE
MN
01
—
2378191
ARAZ
MN
05
—
285468600
—
MN
05
—
34656900
—
WI
01
—
503K7LE
BCBS
MN
01
—
845347
FAIRVIEW
MN
01
—
B626
CHAMPUS
MN
01
—
HP55121
HEALTH PARTNERS
MN
Enumeration date
10/18/2006
Last updated
07/08/2007
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