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Organization
PLASTIC SURGERY SPECIALISTS PLLC
Active
Organization
PLASTIC SURGERY SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J LIVINGSTON MD (OWNER)
(616) 464-4665
Entity
Organization
Contact information
Practice address
2060 E. PARIS, GRAND RAPIDS, MI 49646
(616) 464-4665
(616) 464-4666
Mailing address
2060 E. PARIS, GRAND RAPIDS, MI 49646
(616) 464-4665
(616) 464-4666
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
4301061751
MI
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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