Provider Demographics
NPI:1306932124
Name:LEE, STANLEY SZU-CHI (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:SZU-CHI
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2469
Mailing Address - Country:US
Mailing Address - Phone:734-707-7463
Mailing Address - Fax:734-707-7463
Practice Address - Street 1:14555 LEVAN RD STE 120
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5046
Practice Address - Country:US
Practice Address - Phone:734-707-7463
Practice Address - Fax:734-707-7463
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083331207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH92172Medicare UPIN