CENTER FOR BREAST & BODY CONTOURING PC is a specialist in Grand Rapids, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTER FOR BREAST & BODY CONTOURING PC NPI is 1194755306. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4070 LAKE DR SE
SUITE 202
GRAND RAPIDS, MI
ZIP 49546-294
Phone: (616) 464-4420
Fax: (616) 464-4354
The provider's authorized official is Dennis C Hammond .
The authorized official title is Owner President and has the following contact phone number (616) 464-4420.
The CLIA number assigned to this NPI record is 23D1071477 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/4/2006 and was last updated on 3/20/2008.