Organization · NPI-2

Birmingham Cosmetic Surgery LLC

Plastic Surgery · Southfield, MI

NPI number1952431744
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1952431744
Entity type
Organization (NPI-2)
Legal business name
Birmingham Cosmetic Surgery LLC
Organization subpart
No
Enumeration date
Mar 7, 2007
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery4301047649MIYes

Practice location

30603 Southfield Rd
Southfield, MI 48076-7729

Phone 248-723-9370 · Fax 248-723-9687

Mailing address

30603 Southfield Rd
Southfield, MI 48076-7729

Phone 248-723-9370 · Fax 248-723-9687

Authorized official

Rafai Rouchdi
Owner
2487239370

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