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Oculoplastic Associates Of West Michigan, Plc
Ophthalmic Plastic and Reconstructive Surgery Physician in Grand Rapids, Michigan
NPI 1174974356

Oculoplastic Associates Of West Michigan, Plc is a Ophthalmic Plastic and Reconstructive Surgery Physician based in Grand Rapids, MI and is specialized in Ophthalmic Plastic and Reconstructive Surgery. Oculoplastic Associates Of West Michigan, Plc practices in Grand Rapids, MI. The NPI Number for Oculoplastic Associates Of West Michigan, Plc is 1174974356 and holds a License No. 4301092933 (Michigan).

The current practice location address for Oculoplastic Associates Of West Michigan, Plc is 4070 Lake Dr Se, Grand Rapids, MI and can be reached out via phone at 616-888-2948 and via fax at 616-888-2949.

Location: 4070 Lake Dr Se, Grand Rapids, MI, 49546-8294
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174974356
Provider Name
Oculoplastic Associates Of West Michigan, Plc
Credential
Provider Entity Type
Organization
Address
4070 Lake Dr Se, Grand Rapids, MI, 49546-8294
Phone Number
616-888-2948
Fax Number
616-888-2949
Provider Enumeration Date
06/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164686812 01 NPI
institution
Provider Business Practice Location Address Details
Address
4070 Lake Dr Se
City
Grand Rapids
State
Michigan
Zip
49546-8294
Phone Number
616-888-2948
Fax Number
616-888-2949
person
Provider Business Mailing Address Details
Address
4070 Lake Dr Se
City
Grand Rapids
State
Michigan
Zip
49546-8294
Phone Number
616-888-2948
Fax Number
616-888-2949
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Ophthalmic Plastic and Reconstructive Surgery
Taxonomy
207WX0200X
License No.
4301092933 (Michigan)
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
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