institution
Center For Breast & Body Contouring Pc
Specialist in Grand Rapids, Michigan
NPI 1194755306

Center For Breast & Body Contouring Pc is a Specialist based in Grand Rapids, MI. Center For Breast & Body Contouring Pc practices in Grand Rapids, MI. The NPI Number for Center For Breast & Body Contouring Pc is 1194755306 and holds a License No. 4301406022 (Michigan).

The current practice location address for Center For Breast & Body Contouring Pc is 4070 Lake Dr Se, Grand Rapids, MI and can be reached out via phone at 616-464-4420 and via fax at 616-464-4354.

Location: 4070 Lake Dr Se, Grand Rapids, MI, 49546
institution
Provider Profile Details
NPI Number
1194755306
Provider Name
Center For Breast & Body Contouring Pc
Credential
Provider Entity Type
Organization
Address
4070 Lake Dr Se, Grand Rapids, MI, 49546
Phone Number
616-464-4420
Fax Number
616-464-4354
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4362920 05 MI
institution
Provider Business Practice Location Address Details
Address
4070 Lake Dr Se
City
State
Zip
49546-8294
Phone Number
616-464-4420
Fax Number
616-464-4354
person
Provider Business Mailing Address Details
Address
4070 Lake Dr Se
City
State
Zip
49546-8294
Phone Number
616-464-4420
Fax Number
616-464-4354
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
4301406022 (Michigan)
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.
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