| NPI | 1417324393 |
|---|---|
| Doing Business As | STONEGATE PLACTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | WARREN WHITE Vice President Physician Services 269-983-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4301056980) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |