Organization · NPI-2
Griffin Plastics PLLC
Plastic Surgery · West Bloomfield, MI
NPI number1730845462
StatusActive
Last updated in NPPESNov 17, 2021
Details
- NPI
- 1730845462
- Entity type
- Organization (NPI-2)
- Legal business name
- Griffin Plastics PLLC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2021
- Certification date
- Nov 17, 2021
- Last updated
- Nov 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
Practice location
6900 Orchard Lake Rd Ste 105West Bloomfield, MI 48322-3424
Phone 248-557-7788
Mailing address
6900 Orchard Lake Rd Ste 105West Bloomfield, MI 48322-3424
Phone 248-557-7788
Authorized official
Delorean Griffin
Ceo
3135201889
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