| NPI Details | |
|---|---|
| NPI | 1013930577 |
| Gender | Male |
| Enumeration Date | 07/25/2006 |
| Last Updated | 10/30/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 1840 WEALTHY ST SE EAST GRAND RAPIDS MI, 49506-2921, US |
|
| Phone | (616) 774-7845 |
| Fax | (616) 774-5146 |
| Business Location | |
|---|---|
| 100 MICHIGAN ST NE GRAND RAPIDS MI, 49503-2560, US |
|
| Phone | (616) 391-1830 |
| Fax | (616) 391-1286 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2085R0001X |
| License State | Michigan |
| License Number | 5101007580 |
| Remove 1013930577 NPI Number | |
According to our database, Edward K Lee DO NPI is 1013930577, taxonomy code is 2085R0001X and license number is 5101007580, license state is located at Michigan. Edward K Lee DO physically located at 1840 Wealthy St Se, East Grand Rapids MI, 49506-2921. NPI Number Edward K Lee DO has the Individual type.
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1013930577 NPI number is provided on an as is basis without warranty of any kind. 1013930577 is maintained by the National Plan & Provider Enumeration System. The contents of Edward K Lee DO are for informational purposes only.
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