Individual provider · Type 1 NPI

Gideon Isaac Lee, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1346999760 Active

Practice location

4201 Saint Antoine St # 9C
Detroit, MI 48201-2153

Call (313) 745-9649 Map

Other practice locations

  • 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 · (734) 793-2470

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346999760

Gideon Isaac Lee, DO's National Provider Identifier is 1346999760, issued on Mar 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jun 20, 2025.