Lee, Robert E

Lee, Robert E is an individual health care provider with primary practice located at 2603 Electric Ave Ste C , Port Huron MI 48060-6588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Lee, Robert E can be contacted via phone (810) 985-1300.

Contact Information

Primary practice address
2603 Electric Ave Ste C Port Huron MI 48060-6588
Fax: (810) 985-1659
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301047559 Michigan

Profile Details

NPI number 1639167315
LBN Legal business name Lee, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jul 21st, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639167315 NPPES
Michigan MEDICAID 4881280

Popular Providers