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Ho Kyu Lee, MD
Diagnostic Radiology Physician in Detroit, Michigan
NPI 1528059664

Ho Kyu Lee is a Diagnostic Radiology Physician based in Troy, MI and is specialized in Diagnostic Radiology. Ho Kyu Lee practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Ho Kyu Lee is 1528059664 and holds a License No. SP-158 (Michigan).

The current practice location address for Ho Kyu Lee is 4201 Saint Antoine St, Detroit, MI and can be reached out via phone at 313-745-3430 and via fax at 313-577-8600.

Location: 4201 Saint Antoine St, Detroit, MI, 48083-1189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528059664
Provider Name
Ho Kyu Lee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4201 Saint Antoine St, Detroit, MI, 48083-1189
Phone Number
313-745-3430
Fax Number
313-577-8600
Provider Enumeration Date
10/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0439190 05 IA
36327 01 IA WELLMARK BCBS
institution
Provider Business Practice Location Address Details
Address
4201 Saint Antoine St
City
Detroit
State
Michigan
Zip
48201-2153
Phone Number
313-745-3430
Fax Number
313-577-8600
person
Provider Business Mailing Address Details
Address
4201 Saint Antoine St
City
Detroit
State
Michigan
Zip
48201-2153
Phone Number
313-745-3430
Fax Number
313-577-8600
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
4301091185 (Michigan)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
SP-158 (Iowa)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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