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Individual

DR. WON KYU LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2650 HORIZON DR SE, SUITE 233, GRAND RAPIDS, MI 49546-7686
(616) 419-3607
(616) 419-3679
Mailing address
2650 HORIZON DR SE, SUITE 233, GRAND RAPIDS, MI 49546-7686
(616) 419-3607
(616) 419-3679

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
C43108
CA
207ZD0900X
Dermatopathology (Pathology) Physician
36275
AZ
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
4301065083
MI
207ZD0900X
Dermatopathology (Pathology) Physician
C43108
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
36275
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301065083
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
C43108
CA

Other

Enumeration date
06/19/2006
Last updated
01/26/2016
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