Individual
DR. JEFFREY LEE MICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
620
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
620
MN
213ES0131X
Foot Surgery Podiatrist
620
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140086
UCARE
MN
01
—
2700167
MEDICA
MN
01
—
27D36MI
BLUE CROSS BLUE SHIELD
MN
01
—
33942
HEALTH PARTNERS
MN
05
—
867912600
—
MN
Enumeration date
08/09/2005
Last updated
03/17/2018
Update your record
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