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JP CENTER FOR PLASTIC SURGERY PC NPI 1316358385


NPI Information

NPI: 1316358385
Provider Name: JP CENTER FOR PLASTIC SURGERY PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3529 WEST FRONT ST
JP CENTER FOR PLASTIC SURGERY PC
TRAVERSE CITY, MI
ZIP 49684
Phone: (708) 203-6090
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JP CENTER FOR PLASTIC SURGERY PC is a specialist in Traverse City, 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. JP CENTER FOR PLASTIC SURGERY PC NPI is 1316358385. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3529 WEST FRONT ST
JP CENTER FOR PLASTIC SURGERY PC
TRAVERSE CITY, MI
ZIP 49684
Phone: (708) 203-6090

The provider's authorized official is John William Polley .
The authorized official title is President/plastic Surgeon and has the following contact phone number (708) 203-6090.

The enumeration date for this NPI number is 5/13/2014 and was last updated on 6/19/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist4301403808MICHIGANYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.