NPI 1194979039

Plastic Surgery Specialists, PLLC

Organisation Plastic Surgery Physician Grand Rapids, MI

Practice location

Address: 2060 E. Paris Suite 110, Grand Rapids, MI 49546
Phone: (616) 826-0374

Authorised official

Name: Andrew John Livingston
Title: Owner
Phone: (616) 826-0374

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4301061751 (MI)

Other Plastic Surgery providers in Michigan →

Registry record

NPI: 1194979039
Entity type: Organization
NPI issued: 5 Nov 2008
Record last updated: 5 Nov 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.