# PLASTIC SURGERY CENTER, P.C.

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

## Provider details

- **NPI number:** 1346399656
- **Authorized official:** DR. STEPHEN EDWARD ZUCKER M.D (PRESIDENT)
- **Authorized official phone:** (574) 232-3919

## Contact information

- **Practice address:** 621 MEMORIAL DR, SUITE 511, SOUTH BEND, IN 46601-1063
- **Practice address phone:** (574) 232-3919
- **Mailing address:** 621 MEMORIAL DR, SUITE 511, SOUTH BEND, IN 46601-1063
- **Mailing address phone:** (574) 232-3919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 12/15/2009