IndividualActive
Edward Lee, DO
NPI 1013930577 · Radiation Oncology Physician · East Grand Rapids, MI
Provider details
- NPI number
- 1013930577
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101007580 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1840 Wealthy St Se
East Grand Rapids, MI 49506-2921
Phone: (616) 774-7845
Fax: (616) 774-5146
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Additional practice locations (1)
- 145 Michigan St Ne Ste 1100Grand Rapids, MI 49503-2562Phone: (616) 486-5750
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2025-12-09
- Certified
- 2025-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.