institution
The Center For Plastic Surgery Of Northern Michigan
Specialist in Traverse City, Michigan
NPI 1356563654

The Center For Plastic Surgery Of Northern Michigan is a Specialist based in Traverse City, MI. The Center For Plastic Surgery Of Northern Michigan practices in Traverse City, MI. The NPI Number for The Center For Plastic Surgery Of Northern Michigan is 1356563654 and holds a License No. 4301054838 (Michigan).

The current practice location address for The Center For Plastic Surgery Of Northern Michigan is 4110 Copper Ridge Dr, Traverse City, MI and can be reached out via phone at 231-929-7700. You can also correspond with The Center For Plastic Surgery Of Northern Michigan through the mailing address at 4110 COPPER RIDGE DR, TRAVERSE CITY, MI - 49684-6722 (mailing address contact number: 231-929-7700).

Location: 4110 Copper Ridge Dr, Traverse City, MI, 49684-6722
institution
Provider Profile Details
NPI Number
1356563654
Provider Name
The Center For Plastic Surgery Of Northern Michigan
Credential
Provider Entity Type
Organization
Address
4110 Copper Ridge Dr, Traverse City, MI, 49684-6722
Phone Number
231-929-7700
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2402810801 01 MI BLUE CROSS BLUE SHIELD
4859055 05 MI
2402810801 01 MI BLUE CARE NETWORK
institution
Provider Business Practice Location Address Details
Address
4110 Copper Ridge Dr
City
State
Zip
49684-6722
Phone Number
231-929-7700
Fax Number
person
Provider Business Mailing Address Details
Address
4110 Copper Ridge Dr
City
State
Zip
49684-6722
Phone Number
231-929-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
4301054838 (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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