Organization
JOSEPH ADVANCED FACIAL PLASTIC SURGERY, PLLC
Active
Organization
JOSEPH ADVANCED FACIAL PLASTIC SURGERY, PLLC
Active
Other names
JOSEPH Advanced Oculofacial Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON S. JOSEPH MD (MEMBER)
(947) 217-3223
Entity
Organization
Contact information
Practice address
3940 JOHN R RD, TROY, MI 48083-5688
(947) 217-3223
Mailing address
3435 LIVERNOIS RD, TROY, MI 48083-5063
(947) 217-3223
(248) 817-3994
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
Other
Enumeration date
01/07/2022
Last updated
07/07/2024
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