Organization
PLASTIC SURGERY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE WETHINGTON (PRACTICE ADMINISTATOR)
(513) 349-5512
Entity
Organization
Contact information
Practice address
4030 SMITH ROAD, SUITE 350, CINCINNATI, OH 45209-1969
(513) 791-4440
(513) 985-6615
Mailing address
4030 SMITH ROAD, SUITE 350, CINCINNATI, OH 45209-1969
(513) 791-4440
(513) 985-6615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167877
—
OH
Enumeration date
04/06/2007
Last updated
11/29/2022
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