Organization · NPI-2

Plastic Surgery Of Michigan

Plastic Surgery · Southfield, MI

NPI number1295786291
StatusActive
Last updated in NPPESDec 10, 2009

Details

NPI
1295786291
Entity type
Organization (NPI-2)
Legal business name
Plastic Surgery Of Michigan
Organization subpart
No
Enumeration date
May 14, 2006
Last updated
Dec 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery––Yes

Practice location

29877 Telegraph Rd
Suite 107
Southfield, MI 48034-1332

Phone 248-355-9911 · Fax 248-355-9961

Mailing address

29877 Telegraph Rd
Suite 107
Southfield, MI 48034-1332

Phone 248-355-9911 · Fax 248-355-9961

Authorized official

Andrew Michael Lofman
President
2489904715

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