Organization · Type 2 NPI

Center for Breast & Body Contouring PC

Specialist · Grand Rapids, MI

NPI number 1194755306 Active

Practice location

4070 Lake Dr SE, Suite 202
Grand Rapids, MI 49546-8294

Call (616) 464-4420 Map

Fax (616) 464-4354

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4301406022 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1194755306

Center for Breast & Body Contouring PC's National Provider Identifier is 1194755306, issued on Jul 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 20, 2008.