Organization · Type 2 NPI
Mi Body Contour
Surgery Physician · Dearborn, MI
Practice location
17000 Executive Plaza Dr Suite #204
Dearborn, MI 48126
Fax (888) 304-1293
Mailing address
12740 W Warren Ave Ste 102
Dearborn, MI 48126-4530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | 4301080821 (MI) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
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About NPI 1104222017
Mi Body Contour's National Provider Identifier is 1104222017, issued on Nov 5, 2014. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Dearborn, MI. The record was last updated on Nov 5, 2014.