Great Lakes Plastic Reconstructive & Hand Surgery P C is a Plastic Surgery Physician based in Portage, MI. Great Lakes Plastic Reconstructive & Hand Surgery P C practices in Portage, MI. The NPI Number for Great Lakes Plastic Reconstructive & Hand Surgery P C is 1336335785 and holds a License No. RE07166 (Michigan).
The current practice location address for Great Lakes Plastic Reconstructive & Hand Surgery P C is 7971 Moorsbridge Rd, Portage, MI and can be reached out via phone at 269-329-2900 and via fax at 269-329-1408. You can also correspond with Great Lakes Plastic Reconstructive & Hand Surgery P C through the mailing address at 7971 MOORSBRIDGE RD, PORTAGE, MI - 49024-4075 (mailing address contact number: 269-329-2900).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0C90475 | 01 | MI | BLUE CROSS/BLUE SHIELD |
| 103481434 | 05 | MI | |
| 1629075668 | 01 | MI | DR ELLURU NPI |
| 103481480 | 05 | MI | |
| 1811994841 | 01 | MI | DR HOLLEY NPI |
| 103481390 | 05 | MI | |
| 0A30093 | 01 | MI | BLUE CROSS/BLUE SHIELD |
| 103481443 | 05 | MI |
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