Individual
CHRISTOPH ILSUK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-4405
(608) 263-9729
(608) 263-0682
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD60267813
WA
2085R0202X
Diagnostic Radiology Physician
Primary
13399-320
WI
2085R0202X
Diagnostic Radiology Physician
MD60267813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293202
L&I
WA
05
—
1295914711
—
WA
Enumeration date
11/01/2007
Last updated
05/21/2025
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