Individual
WILLIAM J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 S STATE ST, FAIRMONT, MN 56031-4469
(605) 335-3349
Mailing address
4201 S MINNESOTA AVE, STE 112, SIOUX FALLS, SD 57105-6706
(605) 335-3349
(605) 336-8436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
45027
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025538
PREFERRED ONE
MN
05
—
157457400
—
MN
01
—
1701908
MEDICA
MN
01
—
234D1LE
BXBS
MN
Enumeration date
01/25/2006
Last updated
06/03/2020
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