Organization · Type 2 NPI

Three Rivers Health System, Inc

Plastic Surgery Physician · Three Rivers, MI

NPI number 1174065767 Active

Practice location

1021 Hill St, Suite 300
Three Rivers, MI 49093-2745

Fax (269) 273-9040

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	None listed

Plastic Surgery Physician: 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 b…

9 other providers at this address

NPI record

NPI: 1174065767
Entity type: Organization (Type 2)
Issued: Nov 14, 2016
Last updated: Nov 14, 2016
Status: Active
Subpart: Yes of Three Rivers Health

Other names

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Southwest Michigan Plastic and Hand Surgery · doing business as

Authorized official

William Russell
CEO/president
(269) 273-9601

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174065767

Three Rivers Health System, Inc's National Provider Identifier is 1174065767, issued on Nov 14, 2016. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Three Rivers, MI. The record was last updated on Nov 14, 2016.