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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 P.C.

NPI Number 1134278401
LBN Legal business name RENAISSANCE PLASTIC SURGERY P.C.
Authorized official WILLIAM STEFANI - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/09/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers
MI Medicaid 3078606
MI Medicaid 4134951
MI Other OEO1025 BLUE CROSS
MI Other 1447266945 NPI
MI Other 1710993217 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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