| NPI | 1184815417 |
|---|---|
| Doing Business As | CENTRE FOR PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | SCOTT R BRUNDAGE Member 616-454-1257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |