Individual
DANIEL K LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1002 18TH AVE SE, MINOT, ND 58701
(701) 852-6143
(701) 418-0778
Mailing address
1002 18TH AVE SE, MINOT, ND 58701
(701) 852-6143
(701) 418-0778
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
51107
CO
207X00000X
Orthopaedic Surgery Physician
02004269A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
14841
ND
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
02004269A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201182760
—
IN
Enumeration date
05/17/2010
Last updated
09/11/2024
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