Individual
CLAUDE DOUGLAS LEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25599 KELLY RD, STE A, ROSEVILLE, MI 48066-4975
(586) 772-6000
(586) 772-7700
Mailing address
25599 KELLY RD, STE A, ROSEVILLE, MI 48066-4975
(586) 772-6000
(586) 772-7700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35. 044044
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01071700A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
047134
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000843713
ANTHEM PROVIDER NUMBER
IN
05
—
201196730
—
IN
05
—
3369425
—
MI
05
—
3377561
—
MI
05
—
4714871
—
MI
01
—
CD7957
RAILROAD MEDICARE
MI
01
—
CD7959
RAILROAD MEDICARE
MI
Enumeration date
10/17/2005
Last updated
01/27/2014
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