Derosa Plastic Surgery, Pllc

NPI 1144618075 - Surgery - 2086S0122X

NPI Details
NPI 1144618075
Enumeration Date 12/30/2014
Last Updated 06/22/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name AMY P AMY
Position OWNER
Phone (248) 688-7597
Fax (248) 498-6060
Practice Location
22401 FOSTER WINTER DR
SOUTHFIELD MI, 48075-3724, US
Phone (248) 688-7597
Fax (248) 498-6060
Business Location
22401 FOSTER WINTER DR
SOUTHFIELD MI, 48075-3724, US
Phone (248) 688-7597
Fax (734) 207-7779
Toxanomy
Taxonomy Code 2086S0122X
License State Michigan
License Number 5101017043
Remove 1144618075 NPI Number
 

According to our database, Derosa Plastic Surgery, Pllc NPI is 1144618075, taxonomy code is 2086S0122X and license number is 5101017043, license state is located at Michigan. Derosa Plastic Surgery, Pllc physically located at 22401 Foster Winter Dr, Southfield MI, 48075-3724. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1144618075 NPI number is provided on an as is basis without warranty of any kind. 1144618075 is maintained by the National Plan & Provider Enumeration System. The contents of Derosa Plastic Surgery, Pllc are for informational purposes only.