| NPI | 1114051935 |
|---|---|
| Former Legal Business Name | WEST MAPLE PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | BETH A SHERBERT Office Manager 248-865-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301051281) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-07-23 |