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1881016269
BRIAN EDWARD LEE
GRAND RAPIDS, MI
NPI
1881016269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008637)
Enumeration Date
2014-01-20
Last Update Date
2022-06-20
Business Address
Mr. BRIAN EDWARD LEE PA-C
4100 LAKE DR SE STE 300
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-8860
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Mailing Address
Mr. BRIAN EDWARD LEE PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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