Organization
MARISTELLA EVANGELISTA, MD, PC
Active
Other names
Stella Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS OMMERT (CFO)
(419) 351-4433
Entity
Organization
Contact information
Practice address
36880 WOODWARD AVE STE 203A, BLOOMFIELD HILLS, MI 48304-0921
(248) 329-3571
(248) 329-3572
Mailing address
1293 SOUTHFIELD RD, BIRMINGHAM, MI 48009-3081
(248) 329-3571
(248) 329-3572
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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