Madison Sandra Lee, PA-C

NPI #1942984109 in Grosse Pointe, Michigan

Provider Information

NPI Number: 1942984109
Entity Type: Individual
Name: Madison Sandra Lee, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 9, 2023
Last Updated: Sep 23, 2024

Practice Location

Address: 468 CADIEUX RD
City: Grosse Pointe
State: Michigan
ZIP Code: 48230-1507
Phone: (313) 473-6899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
General Practice	208D00000X
Physician Assistant	363A00000X	Primary

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