NPI | 1649675174 |
---|---|
Former Legal Business Name | CRESCENT PLASTIC SURGERY, PLLC |
Entity Type | Organization |
Authorized Contact | SHAHER W KHAN CEO 734-419-1615 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301098160) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2024-03-22 |