Organization
JP CENTER FOR PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILLIAM POLLEY M.D. (PRESIDENT/PLASTIC SURGEON)
(708) 203-6090
Entity
Organization
Contact information
Practice address
3529 WEST FRONT ST, JP CENTER FOR PLASTIC SURGERY PC, TRAVERSE CITY, MI 49684
(708) 203-6090
Mailing address
3529 WEST FRONT ST, JP CENTER FOR PLASTIC SURGERY PC, TRAVERSE CITY, MI 49684
(708) 203-6090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301403808
MI
Other
Enumeration date
05/13/2014
Last updated
06/19/2014
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