| NPI | 1760654602 |
|---|---|
| Doing Business As | CENTRE FOR PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | CAROL JEAN FEWLESS Practice Administrator 616-454-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2013-07-31 |