Organization
PLASTIC SURGERY OF KALAMAZOO,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE M JOHNSON (MANAGER, PATIENT ACCOUNTS)
(269) 372-3000
Entity
Organization
Contact information
Practice address
7901 SOUTH 12TH STREET, SUITE 100, PORTAGE, MI 49024
(269) 372-3000
(269) 372-3500
Mailing address
7901 SOUTH 12TH STREET, SUITE 100, PORTAGE, MI 49024
(269) 372-3000
(269) 372-3500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1920114
—
MI
05
—
1997100
—
MI
Enumeration date
05/03/2007
Last updated
07/21/2022
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