Individual
MR. KIM J. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 MICHIGAN ST NE, SUITE 4300, GRAND RAPIDS, MI 49503
(616) 267-9150
(616) 267-1408
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4301058639
MI
Other
Enumeration date
10/04/2006
Last updated
02/23/2021
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