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Contact Information

RENAISSANCE PLASTIC SURGERY P.C.
85 E BIG BEAVER RD
TROY, MI48083
 Phone: 586-779-3030
 Fax: 586-779-6733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for RENAISSANCE PLASTIC SURGERY PC · (Female)

NPI # 1134278401
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Medicaid 3078606
  • MI Medicaid 4134951
  • MI Other OEO1025 BLUE CROSS
  • MI Other 1447266945 NPI
  • MI Other 1710993217 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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