NPI 1003061268

Plastic Surgery Specialists PLLC

Organisation Surgery of the Hand (Plastic Surgery) Physician Grand Rapids, MI

Practice location

Address: 2060 E. Paris, Grand Rapids, MI 49646
Phone: (616) 464-4665
Fax: (616) 464-4666

Authorised official

Name: Andrew J Livingston
Title: Owner
Phone: (616) 464-4665

Registered specialties

Surgery of the Hand (Plastic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence 4301061751 (MI)

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Registry record

NPI: 1003061268
Entity type: Organization
NPI issued: 1 Dec 2008
Record last updated: 1 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.