Organization · Type 2 NPI
Michigan Cosmetic & Reconstructive Surgery PLLC
Plastic and Reconstructive Surgery Physician · Southfield, MI
NPI number
1902072952
Active
Practice location
29110 Inkster Rd, Ste 250
Southfield, MI 48034-1098
Fax (248) 948-8085
Mailing address
PO Box 673053
Detroit, MI 48267-3053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Another provider at this address
Other plastic and reconstructive surgery physician providers in Southfield
About NPI 1902072952
Michigan Cosmetic & Reconstructive Surgery PLLC's National Provider Identifier is 1902072952, issued on Apr 30, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Southfield, MI. The record was last updated on Apr 30, 2008.