# ADVANCED PLASTIC SURGERY, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED PLASTIC SURGERY
- **Other names:** Advanced Plastic Surgical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497425508
- **Legal business name:** ADVANCED PLASTIC SURGERY
- **Authorized official:** EWA D KOMOROWSKA-TIMEK MD (PHYSICIAN OWNER)
- **Authorized official phone:** (616) 323-3102

## Contact information

- **Practice address:** 3855 BURTON ST SE STE A, GRAND RAPIDS, MI 49546-6147
- **Practice address phone:** (616) 323-3102
- **Practice address fax:** (616) 323-3061
- **Mailing address:** 3855 BURTON ST SE STE A, GRAND RAPIDS, MI 49546-6147
- **Mailing address phone:** (616) 323-3102
- **Mailing address fax:** (616) 323-3061

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2021
- **Last updated:** 09/20/2021