NPI 1699805556

Michigan Cosmetic & Reconstructive

Organisation Plastic Surgery Physician Southfield, MI

Practice location

Address: 30603 Southfield Rd, Southfield, MI 48076-7729
Phone: (248) 540-1900
Fax: (248) 767-8706

Authorised official

Name: Mariam H Awada
Title: Owner
Phone: (248) 540-1900

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4301082433 (MI)

Other Plastic Surgery providers in Michigan →

Registry record

NPI: 1699805556
Entity type: Organization
NPI issued: 7 Mar 2007
Record last updated: 20 Apr 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.