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Individual

MICHAEL S LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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