Individual
BOHYUNG KEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
Mailing address
1502 COUNTRY CLUB DR E, WARSAW, IN 46580-5013
(574) 269-1242
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01037341
IN
Other
Enumeration date
09/22/2006
Last updated
03/26/2008
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