Great Lakes Plastic Surgery Center in Traverse City - Plastic And Reconstructive Surgery
Great Lakes Plastic Surgery Center - NPI 1972795334
Great Lakes Plastic Surgery Center is a Plastic And Reconstructive Surgery in Traverse City, Michigan. Great Lakes Plastic Surgery Center practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Great Lakes Plastic Surgery Center is 1972795334. The last update date is 2009-08-18.
Great Lakes Plastic Surgery Center's current location address is 5085 Anna Dr, Traverse City, Michigan. You can contact this provider via phone number 2319350180 and fax number 2319350099. The mailing address for Great Lakes Plastic Surgery Center is 5085 Anna Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Plastic Surgery Center |
|---|---|
| Address | 5085 Anna Dr, Traverse City, Michigan |
| Phone Number | 2319350180 |
| Fax Number | 2319350099 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL BI |
|---|---|
| Authorized Official Name | Francis S Catherine |
| Telephone Number | 2319350180 |
NPI Number Detail
| NPI Number | 1972795334 |
|---|---|
| Provider Enumeration Date | 2007-08-09 |
| Last Updated Date | 2009-08-18 |
Provider Mailing Address Detail
| Address | 5085 Anna Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496849691 |
| Phone Number | 2319350180 |
| Fax Number | 2319350099 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4301067433 | MI | STATE LICENSE | |
| 2402810821 | MI | BLUE CROSS BLUE SHIELD MI | |
| 1285614032 | MI | NPI | |
| 4156180 | MI | -- | |
| 4704192319 | MI | STATE LICENSE | |
| 1437139318 | MI | NPI | |
| 3495242 | MI | -- | |
| 5008762590 | MI | BLUE CROSS BLUE SHIELD MI |
Post Comment/ Review Below
What is the unique identifier code issued to Great Lakes Plastic Surgery Center by the Centers for Medicare & Medicaid Services?
The Great Lakes Plastic Surgery Center has been assigned the NPI (National Provider Identifier) 1972795334. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Great Lakes Plastic Surgery Center is physically located?
The Great Lakes Plastic Surgery Center is physically situated at the following address: 5085 Anna Dr, Traverse City, MI, 496849691.
What is Great Lakes Plastic Surgery Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Great Lakes Plastic Surgery Center's area of specialization is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972795334 to Great Lakes Plastic Surgery Center?
The Centers for Medicare & Medicaid Services originally issued the 1972795334 to Great Lakes Plastic Surgery Center on 2007-08-09.
As of what date was the information pertaining to Great Lakes Plastic Surgery Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Great Lakes Plastic Surgery Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-08-18.