The Center For Plastic Surgery Of Northern Michigan in Traverse City - Specialist

The Center For Plastic Surgery Of Northern Michigan - NPI 1356563654

The Center For Plastic Surgery Of Northern Michigan is a Specialist in Traverse City, Michigan. The Center For Plastic Surgery Of Northern Michigan practices all healthcare services and medical treatments related to Specialist. The NPI Number for The Center For Plastic Surgery Of Northern Michigan is 1356563654. The last update date is 2021-05-13.

The Center For Plastic Surgery Of Northern Michigan's current location address is 4110 Copper Ridge Dr, Traverse City, Michigan. You can contact this provider via phone number 2319297700. The mailing address for The Center For Plastic Surgery Of Northern Michigan is 4110 Copper Ridge Dr, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Center For Plastic Surgery Of Northern Michigan
Address 4110 Copper Ridge Dr, Traverse City, Michigan
Phone Number 2319297700
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Jeffries Christopher
Telephone Number 2319297700

NPI Number Detail

NPI Number 1356563654
Provider Enumeration Date 2007-05-03
Last Updated Date 2021-05-13

Provider Mailing Address Detail

Address 4110 Copper Ridge Dr
City Traverse City
State Michigan (MI)
Post Code 496846722
Phone Number 2319297700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 4301054838
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2402810801 MI BLUE CROSS BLUE SHIELD
4859055 MI --
2402810801 MI BLUE CARE NETWORK

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FAQs about The Center For Plastic Surgery Of Northern Michigan

What is the The Center For Plastic Surgery Of Northern Michigan's unique identification number?

The The Center For Plastic Surgery Of Northern Michigan has been assigned the NPI (National Provider Identifier) Number 1356563654 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where The Center For Plastic Surgery Of Northern Michigan is physically located?

The The Center For Plastic Surgery Of Northern Michigan is situated at the following address: 4110 Copper Ridge Dr, Traverse City, MI 496846722.

What is The Center For Plastic Surgery Of Northern Michigan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for The Center For Plastic Surgery Of Northern Michigan is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did The Center For Plastic Surgery Of Northern Michigan receive its 1356563654 assignment from the Centers for Medicare & Medicaid Services?

The The Center For Plastic Surgery Of Northern Michigan was assigned its 1356563654 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to The Center For Plastic Surgery Of Northern Michigan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to The Center For Plastic Surgery Of Northern Michigan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-05-13.

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