Organization
CENTER FOR BREAST & BODY CONTOURING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS C HAMMOND MD (OWNER PRESIDENT)
(616) 464-4420
Entity
Organization
Contact information
Practice address
4070 LAKE DR SE, SUITE 202, GRAND RAPIDS, MI 49546-8294
(616) 464-4420
(616) 464-4354
Mailing address
4070 LAKE DR SE, SUITE 202, GRAND RAPIDS, MI 49546
(616) 464-4420
(616) 464-4354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301406022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4362920
—
MI
Enumeration date
07/04/2006
Last updated
03/20/2008
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