OMNIVERSE PLASTIKOS PA

RIDGELAND, MS
NPI1871724500
Entity TypeOrganization
Authorized ContactARNO RENE SCHLEICH
President
601-824-1492
Organization Subpart ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: MS  20023)
Additional Taxonomies2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck
(Licence: MS  20023)
2086S0105X Surgery, Surgery of the Hand
(Licence: MS  20023)
Enumeration Date2009-07-29
Last Update Date2010-12-20
Business Address
OMNIVERSE PLASTIKOS PA
14 PROFESSIONAL PKWY SUITE C
RIDGELAND, MS 39157-4190
Phone number: 601-824-1492
Mailing Address
OMNIVERSE PLASTIKOS PA
1888 MAIN ST SUITE C, #272
MADISON, MS 39110-6337
Phone number: 601-824-1492