Individual
SAMUEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MICHIGN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 364-4200
Mailing address
1 BAYLOR PLZ, MS: BCM 120, HOUSTON, TX 77030-3411
(713) 798-5117
(713) 798-6374
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10049546
TX
207L00000X
Anesthesiology Physician
PENDING
MI
Other
Enumeration date
04/08/2014
Last updated
07/10/2019
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