Organization · Type 2 NPI

Great Lakes Plastic Reconstructive & Hand Surgery P C

Plastic Surgery Physician · Portage, MI

NPI number 1336335785 Active

Practice location

7971 Moorsbridge Rd
Portage, MI 49024-4075

Fax (269) 329-1408

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XRE07166 (MI)

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…

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About NPI 1336335785

Great Lakes Plastic Reconstructive & Hand Surgery P C's National Provider Identifier is 1336335785, issued on Sep 19, 2007. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Portage, MI. The record was last updated on Apr 17, 2013.