Organization
ST CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER L LEE MD (PRESIDENT)
(586) 416-1300
Entity
Organization
Contact information
Practice address
23829 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-1186
(586) 773-1300
Mailing address
22701 HALL RD STE 100, MACOMB, MI 48042-5270
(586) 416-4265
(586) 416-0867
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403130001
MEDICARE SUPPLIER
MI
01
—
0E02122
BLUE CROSS
MI
Enumeration date
04/07/2006
Last updated
09/23/2024
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