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Contact Information

PLASTIC SURGERY SPECIALISTS, PLLC
2060 E. PARIS
SUITE 110
GRAND RAPIDS, MI49546
 Phone: 616-826-0374
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PLASTIC SURGERY SPECIALISTS PLLC · (Female)

NPI # 1194979039
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2008
Last updated 11/05/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301061751
  • MI Other 1689624017 INDIVIDUAL NPI #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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