NPI 1215562392

Nina Rae Livermore, MD

Practitioner Plastic Surgery Physician Grand Rapids, MI

Practice location

Address: 275 Michigan St NE Fl 9, Grand Rapids, MI 49503-2531
Phone: (616) 391-6243
Fax: (616) 391-8612

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4351048541 (MI)

Other Plastic Surgery providers in Michigan →

Registry record

NPI: 1215562392
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2020
Record last updated: 26 Jul 2026

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.