Organization · Type 2 NPI

The Center for Plastic Surgery of Northern Michigan

Specialist · Traverse City, MI

NPI number 1356563654 Active

Practice location

4110 Copper Ridge Dr, Suite 242
Traverse City, MI 49684-6722

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	4301054838 (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.

6 other providers at this address

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NPI record

NPI: 1356563654
Entity type: Organization (Type 2)
Issued: May 3, 2007
Last updated: May 13, 2021
Status: Active

Other names

<unavail>
Steven V Thomas MD and Associates PC · doing business as
The Center for Plastic Surgery at Copper Ridge · doing business as
The Center for Plastic Surgery at Copper Ridge · doing business as

Authorized official

Christopher Jeffries
Owner
(231) 929-7700

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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 1356563654

The Center for Plastic Surgery of Northern Michigan's National Provider Identifier is 1356563654, issued on May 3, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Traverse City, MI. The record was last updated on May 13, 2021.