# VISAGE FACIAL PLASTIC SURGERY SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326462540
- **Authorized official:** DR. ANAND D PATEL M.D. (OWNER)
- **Authorized official phone:** (323) 839-8022

## Contact information

- **Practice address:** 19275 W CAPITOL DR, SUITE 205, BROOKFIELD, WI 53045-2742
- **Practice address phone:** (262) 701-7040
- **Mailing address:** 19275 W CAPITOL DR, SUITE 205, BROOKFIELD, WI 53045-2742
- **Mailing address phone:** (262) 701-7040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2014
- **Last updated:** 11/09/2016