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Dr. Mark Theodore Lee, DO
Diagnostic Radiology Physician in Mankato, Minnesota
NPI 1245625003

Mark Theodore Lee is a Diagnostic Radiology Physician based in Mankato, MN and is specialized in Diagnostic Radiology. Mark Theodore Lee practices in Mankato, MN and has the professional credentials of DO. The NPI Number for Mark Theodore Lee is 1245625003 and holds a License No. 67264 (Minnesota).

The current practice location address for Mark Theodore Lee is 1025 Marsh St, Mankato, MN and can be reached out via phone at 507-625-4031.

Location: 1025 Marsh St, Mankato, MN, 56001-4752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245625003
Provider Name
Mark Theodore Lee
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1025 Marsh St, Mankato, MN, 56001-4752
Phone Number
507-625-4031
Fax Number
Provider Enumeration Date
03/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67264 01 MN MINNESOTA BOARD OF MEDICAL PRACTICE
institution
Provider Business Practice Location Address Details
Address
1025 Marsh St
City
Mankato
State
Minnesota
Zip
56001-4752
Phone Number
507-625-4031
Fax Number
person
Provider Business Mailing Address Details
Address
1025 Marsh St
City
Mankato
State
Minnesota
Zip
56001-4752
Phone Number
507-625-4031
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
67264 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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