Organization
HAND & PLASTIC SURGERY CENTRE PLC
Active
Other names
Elite Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ALLEN-STOUFFER (PRACTICE ADMINISTRATOR)
(616) 459-4131
Entity
Organization
Contact information
Practice address
245 CHERRY ST SE, SUITE 302, GRAND RAPIDS, MI 49503-4607
(616) 459-4131
(616) 459-6030
Mailing address
245 CHERRY ST SE, SUITE 302, GRAND RAPIDS, MI 49503-4607
(616) 459-4131
(616) 459-6030
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D16253
BCBS OF MICHIGAN
MI
05
—
2727404
—
MI
05
—
3323257
—
MI
05
—
4075832
—
MI
05
—
4273703
—
MI
05
—
4488298
—
MI
05
—
4694901
—
MI
Enumeration date
12/21/2006
Last updated
02/14/2022
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