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Organization

THE CENTER FOR PLASTIC SURGERY OF NORTHERN MICHIGAN

Active
Other names
The Center for Plastic Surgery at Copper Ridge, Steven V Thomas MD and Associates PC
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER JEFFRIES (OWNER)
(231) 929-7700
Entity
Organization

Contact information

Practice address
4110 COPPER RIDGE DR, SUITE 242, TRAVERSE CITY, MI 49684-6722
(231) 929-7700
Mailing address
4110 COPPER RIDGE DR, SUITE 242, TRAVERSE CITY, MI 49684-6722
(231) 929-7700

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301054838
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2402810801
BLUE CROSS BLUE SHIELD
MI
05
4859055
MI
Enumeration date
05/03/2007
Last updated
05/13/2021
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