West Bloomfield Aesthetic Surgery Center Llc

NPI 1023345345 - Plastic Surgery - 208200000X

NPI Details
NPI 1023345345
Enumeration Date 11/06/2009
Last Updated 11/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name FANNY FANNY
Position OWNER
Phone (247) 538-1998
Fax (248) 522-6506
Practice Location
31224 MULFORDTON ST
SUITE 210
FARMINGTON HILLS MI, 48334-1407, US
Phone (247) 538-1998
Fax (248) 522-6506
Business Location
31224 MULFORDTON ST
SUITE 210
FARMINGTON HILLS MI, 48334-1407, US
Phone (247) 538-1998
Fax (248) 522-6506
Toxanomy
Taxonomy Code 208200000X
License State Michigan
License Number 4301036977
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According to our database, West Bloomfield Aesthetic Surgery Center Llc NPI is 1023345345, taxonomy code is 208200000X and license number is 4301036977, license state is located at Michigan. West Bloomfield Aesthetic Surgery Center Llc physically located at 31224 Mulfordton St, Farmington Hills MI, 48334-1407. NPI Number 1033115704 has the healthcare provider type.

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1023345345 NPI number is provided on an as is basis without warranty of any kind. 1023345345 is maintained by the National Plan & Provider Enumeration System. The contents of West Bloomfield Aesthetic Surgery Center Llc are for informational purposes only.