Organization
MICHAEL S LEE DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S LEE DPM (PRESIDENT)
(515) 440-2676
Entity
Organization
Contact information
Practice address
1601 NW 114TH ST, STE 142, DES MOINES, IA 50325-7036
(515) 440-2676
(515) 440-2676
Mailing address
1601 NW 114TH ST, STE 142, DES MOINES, IA 50325-7036
(515) 440-2676
(515) 440-2676
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00693
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD3729
RAILROAD MEDICARE
IA
Enumeration date
05/24/2007
Last updated
05/06/2009
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