Organization · NPI-2
Apd Plastics
Plastic Surgery · West Bloomfield, MI
NPI number1497427686
StatusActive
Last updated in NPPESOct 5, 2021
Details
- NPI
- 1497427686
- Entity type
- Organization (NPI-2)
- Legal business name
- Apd Plastics
- Organization subpart
- No
- Enumeration date
- Oct 5, 2021
- Certification date
- Oct 5, 2021
- Last updated
- Oct 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
Practice location
33200 W 14 Mile RdWest Bloomfield, MI 48322-3563
Phone 248-688-7597
Mailing address
33200 W 14 Mile RdWest Bloomfield, MI 48322-3563
Phone 248-688-7597
Authorized official
Amy Derosa
Member
2486887597
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