Lee, Michael Won Kyu

Lee, Michael Won Kyu is an individual health care provider with primary practice located at 22250 Providence Dr Ste 206 , Southfield MI 48075-6210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Lee, Michael Won Kyu can be contacted via phone (248) 709-4430.

Contact Information

Primary practice address
22250 Providence Dr Ste 206 Southfield MI 48075-6210
Phone: (248) 709-4430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301065895 Michigan
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301065895 Michigan

Profile Details

NPI number 1275590523
LBN Legal business name Lee, Michael Won Kyu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Oct 3rd, 2023 - about 2 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 1275590523 NPPES
Michigan MEDICAID 3282501

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