PLASTIC & COSMETIC SURGEONS PC NPI 1689777252

NPI Information

NPI: 1689777252
Provider Name: PLASTIC & COSMETIC SURGEONS PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1219 EAST SAGINAW STREET
LANSING, MI
ZIP 48906
Phone: (517) 485-3583
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PLASTIC & COSMETIC SURGEONS PC is a plastic and reconstructive surgery surgery in Lansing, MI. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC & COSMETIC SURGEONS PC NPI is 1689777252. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1219 EAST SAGINAW STREET
LANSING, MI
ZIP 48906
Phone: (517) 485-3583
Fax: (517) 485-3942

The provider's authorized official is George P Poletes .
The authorized official title is Owner and has the following contact phone number (517) 485-3583.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/20/2013.

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
1	2082S0105X	Plastic Surgery	Surgery of the Hand	GP069777	MICHIGAN	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	GP069777	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	24033111081	OTHER	MICHIGAN	BCBS
2	F47266	MEDICARE UPIN
3	1300066	OTHER	MICHIGAN	PHP

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: 11/14/2023

NPI Synchronization or Removal

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