Organization
ZORMEIER COSMETIC SURGERY AND LONGEVITY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE M ZORMEIER MD (PRINCIPAL)
(317) 392-6200
Entity
Organization
Contact information
Practice address
302 DURAN DR, SHELBYVILLE, IN 46176-1986
(317) 392-6200
(317) 398-7526
Mailing address
302 DURAN DR, SHELBYVILLE, IN 46176-1986
(317) 392-6200
(317) 398-7526
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
01050761A
IN
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
01050761A
IN
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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