Organization
GRAND RAPIDS PLASTIC SURGERY PLC
Active
Other names
Centre for Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R BRUNDAGE MD (MEMBER)
(616) 454-1257
Entity
Organization
Contact information
Practice address
426 MICHIGAN ST, STE 300, GRAND RAPIDS, MI 49503-5609
(616) 454-1256
(616) 831-2648
Mailing address
426 MICHIGAN ST, STE 300, GRAND RAPIDS, MI 49503-5609
(616) 454-1256
(616) 831-2648
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MI
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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