Organization
PENINSULA PLASTIC AND RECONSTRUCTIVE SURGERY OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL PERRY (CRED COORD)
(586) 209-8307
Entity
Organization
Contact information
Practice address
47601 GRAND RIVER AVE STE B233, NOVI, MI 48374-1204
(248) 465-5499
Mailing address
47601 GRAND RIVER AVE STE B233, NOVI, MI 48374-1204
(248) 465-5499
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
01/21/2025
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