| NPI | 1609344175 |
|---|---|
| Doing Business As | SKYLINE PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | ALBERTO AVILES Medical Director 248-936-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2022-03-16 |