| NPI | 1649597998 |
|---|---|
| Doing Business As | ST. MARYS PLASTIC, RECONSTRUCTIVE, COSMETIC AND HAND SURGERY |
| Doing Business As | ASCENSION MEDICAL GROUP PLASTIC RECONSTRUCTIVE COSMETIC AND HAND SURGERY |
| Entity Type | Organization |
| Authorized Contact | LAURIE MCCORD Enrollment Coordinator 989-362-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 5101015176) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI 5101015176) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 5101015176) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2020-08-03 |