NPI 1255003893
Advanced Plastic Surgery, PC
Practice location
- Address
- 3855 Burton St SE STE a, Grand Rapids, MI 49546-6147
- Phone
- (616) 323-3102
- Fax
- (616) 323-3061
Authorised official
- Name
- Ewa D Komorowska-Timek
- Title
- Physician Owner
- Phone
- (616) 323-3102
Registered specialties
Plastic Surgery Physician
Primary
Registry record
- NPI
- 1255003893
- Entity type
- Organization
- NPI issued
- 1 Oct 2021
- Record last updated
- 1 Oct 2021
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.