Individual
DR. WAI H. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 S NAPPANEE ST, STE A, ELKHART, IN 46514-2066
(574) 296-3338
(574) 296-3332
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3245
(574) 647-1840
(574) 296-3392
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01034129A
IN
207UN0901X
Nuclear Cardiology Physician
01034129A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113000
—
IN
Enumeration date
05/27/2005
Last updated
04/28/2023
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