Individual
DR. LEE JEFFRY PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
(616) 365-9468
Mailing address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
(616) 365-9468
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301032795
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4203861
—
MI
Enumeration date
07/14/2006
Last updated
07/08/2007
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