Provider Demographics
NPI:1659480507
Name:LEE, WILLIAM R (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1620 COMMERCE PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-1634
Mailing Address - Country:US
Mailing Address - Phone:734-475-6022
Mailing Address - Fax:734-475-6021
Practice Address - Street 1:14650 OLD US EAST
Practice Address - Street 2:SUITE 306
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118
Practice Address - Country:US
Practice Address - Phone:734-475-6022
Practice Address - Fax:734-475-6021
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2019-06-03
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Provider Licenses
StateLicense IDTaxonomies
MI4301407435207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIE90792Medicare UPIN