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Organization

UNIVERSITY PLASTIC SURGERY ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE ROWAN (PRACTICE ADMINISTRATOR)
(216) 844-4780
Entity
Organization

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1736
(216) 844-4780
Mailing address
5910 LANDERBROOK DR, SUITE 250, MAYFIELD HTS, OH 44124-6508
(440) 684-5865
(440) 449-1555

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0225652
OH
01
CA9604
RAILROAD MEDICARE
OH
Enumeration date
05/24/2006
Last updated
09/11/2025
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