National Provider Identifier Database

GRAND RAPIDS PLASTIC SURGERY PLC
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.


Contact Information

GRAND RAPIDS PLASTIC SURGERY PLC
2060 EAST PARIS AVE SE
SUITE 150
GRAND RAPIDS, MI49546
Phone: 616-454-1256
Fax: 616-454-0308
Website:
Specialty Taxonomy Code
* Plastic Surgery 208200000X

* Indicates primary specialty

NPI Profile & details for GRAND RAPIDS PLASTIC SURGERY PLC

NPI Number 1760654602
Legal business name
LBN
GRAND RAPIDS PLASTIC SURGERY PLC
Authorized official CAROL FEWLESS - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/01/2008
Last updated 07/31/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: 0D11002 BCBS
  • MI Other: B0001 BCN

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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