Lee, Mary S

Lee, Mary S is an individual health care provider with primary practice located at 5799 W Maple Rd Ste 163 , West Bloomfield MI 48322-4458. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lee, Mary S can be contacted via phone (248) 419-5111.

Contact Information

Primary practice address
5799 W Maple Rd Ste 163 West Bloomfield MI 48322-4458
Fax: (248) 419-5112
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301061252 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301061252 Michigan

Profile Details

NPI number 1932180817
LBN Legal business name Lee, Mary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jan 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932180817 NPPES
Michigan MEDICAID 1598296485

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