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PLASTIC SURGERY SPECIALISTS PLLC NPI 1003061268


NPI Information

NPI: 1003061268
Provider Name: PLASTIC SURGERY SPECIALISTS PLLC
Classification: Plastic Surgery - 2082S0105X
Entity Type: Organization

Specialization: Surgery of the Hand

Address:
2060 E. PARIS
GRAND RAPIDS, MI
ZIP 49646
Phone: (616) 464-4665
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PLASTIC SURGERY SPECIALISTS PLLC is a surgery of the hand plastic surgery in Grand Rapids, MI. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. PLASTIC SURGERY SPECIALISTS PLLC NPI is 1003061268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2060 E. PARIS
GRAND RAPIDS, MI
ZIP 49646
Phone: (616) 464-4665
Fax: (616) 464-4666

The provider's authorized official is Andrew J Livingston .
The authorized official title is Owner and has the following contact phone number (616) 464-4665.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0105XPlastic SurgerySurgery of the Hand4301061751MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H37168MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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