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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275590523 | NPPES |
| Michigan | MEDICAID | 3282501 |
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