Organization · NPI-2

Birmingham Vein Center PLLC

Plastic Surgery · Southfield, MI

NPI number1508160193
StatusActive
Last updated in NPPESDec 22, 2010

Details

NPI
1508160193
Entity type
Organization (NPI-2)
Legal business name
Birmingham Vein Center PLLC
Organization subpart
No
Enumeration date
Dec 22, 2010
Last updated
Dec 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic SurgeryRR047649MIYes

Practice location

30603 Southfield Road
Southfield, MI 48076-7729

Phone 248-723-9370 · Fax 248-723-9687

Mailing address

30603 Southfield Road
Southfield, MI 48076-7729

Phone 248-723-9370 · Fax 248-723-9687

Authorized official

Rouchdi M Rifai
Doctor
2487239370

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