Individual
DR. LEE J SECRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3754 S BRENTWOOD LN, COEUR D ALENE, ID 83814-7053
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M7731
ID
Other
Enumeration date
08/12/2005
Last updated
08/16/2013
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