DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WON KYU LEE, MD

Active Sole Proprietor

DR. WON KYU LEE, MD is a Dermatopathology (Pathology) healthcare provider located in GRAND RAPIDS, Michigan. NPI 1871538124 is currently active in the NPPES registry. Verify at CMS.

Dermatopathology (Pathology) · GRAND RAPIDS, MI

Registration Details

NPI Number
1871538124
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2006 (20.175853120409 yrs)
Last Updated
Jan 26, 2016
Licenses
C43108 (CA)
C43108 (CA)
4301065083 (MI)
36275 (AZ)
C43108 (CA)
Sole Proprietor
Yes

Practice Information

Address
2650 HORIZON DR SE
SUITE 233
GRAND RAPIDS, MI, 495467686
Browse MI providers · Browse ZIP 49546
Phone
6164193607
Fax
6164193679
Primary Specialty
Dermatopathology (Pathology)
207ZD0900X
Additional Specialty
Dermatopathology (Pathology)
Additional Specialty
Dermatopathology (Pathology)
Additional Specialty
Dermatopathology (Pathology)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.