NPI 1023345345

West Bloomfield Aesthetic Surgery Center LLC

Organisation Plastic Surgery Physician Farmington Hills, MI

Practice location

Address: 31224 Mulfordton St Suite 210, Farmington Hills, MI 48334-1407
Phone: (247) 538-1998
Fax: (248) 522-6506

Authorised official

Name: Fanny Dela Cruz
Title: Owner
Phone: (248) 539-1009

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4301036977 (MI)

Other Plastic Surgery providers in Michigan →

Registry record

NPI: 1023345345
Entity type: Organization
NPI issued: 6 Nov 2009
Record last updated: 6 Nov 2009

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.