Provider Demographics
NPI:1922172436
Name:GEE, HARRY (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:
Last Name:GEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80650 VAN DYKE AVENUE
Mailing Address - Street 2:HENRY FORD MACOMB HOSPITAL
Mailing Address - City:ROMEO
Mailing Address - State:MI
Mailing Address - Zip Code:48065
Mailing Address - Country:US
Mailing Address - Phone:810-798-6410
Mailing Address - Fax:810-798-6419
Practice Address - Street 1:80650 VAN DYKE AVENUE
Practice Address - Street 2:HENRY FORD MACOMB HOSPITAL
Practice Address - City:ROMEO
Practice Address - State:MI
Practice Address - Zip Code:48065
Practice Address - Country:US
Practice Address - Phone:810-798-6410
Practice Address - Fax:810-798-6436
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI050028207P00000X, 2083X0100X
MI4301050028207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HG050028OtherCHAMPUS-CHAMPUS
700H262220OtherBLUE CROSS-BLUE CROSS
MI191179710Medicaid
HG050028OtherCOMMERCIAL-COMMERCIAL NUMBER
0H26222218Medicare ID - Type Unspecified
HG050028OtherCOMMERCIAL-COMMERCIAL NUMBER