Individual
MR. JEFFREY CHARLES LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1174 W MICHIGAN AVE STE B, MARSHALL, MI 49068-1625
(269) 789-4390
Mailing address
601 JOHN ST, BOX 39, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704279230
MI
Other
Enumeration date
08/13/2016
Last updated
04/25/2023
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