Individual
RYAN LEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6867
Mailing address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5151017441
MI
2085R0202X
Diagnostic Radiology Physician
Primary
5151017441
MO
Other
Enumeration date
05/08/2025
Last updated
04/07/2026
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