Organization
PARKWAY PLASTIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHAEL NITSCH M.D. (PRESIDENT)
(269) 343-5750
Entity
Organization
Contact information
Practice address
575 W CROSSTOWN PKWY, SUITE 1, KALAMAZOO, MI 49008-1977
(269) 343-5750
(269) 343-4936
Mailing address
575 W CROSSTOWN PKWY, SUITE 1, KALAMAZOO, MI 49008-1977
(269) 343-5750
(269) 343-4936
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301039963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4167184
—
MI
Enumeration date
01/04/2007
Last updated
03/18/2008
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