Organization
RENAISSANCE PLASTIC SURGERY P.C.
Active
Parent organization
RENAISSANCE PLASTIC SURGERY P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENAISSANCE PLASTIC SURGERY P.C.
Authorized official
WILLIAM A STEFANI (OWNER)
(586) 779-3030
Entity
Organization
Contact information
Practice address
85 E BIG BEAVER RD, TROY, MI 48083
(586) 779-3030
(586) 779-6733
Mailing address
85 E BIG BEAVER RD, TROY, MI 48083
(586) 779-3030
(586) 779-6733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
MI
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447266945
NPI
MI
01
—
1710993217
NPI
MI
05
—
3078606
—
MI
05
—
4134951
—
MI
01
—
OEO1025
BLUE CROSS
MI
Enumeration date
01/09/2007
Last updated
07/21/2022
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