Organization
CASCADE PLASTIC SURGERY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ARGYLE GILMORE SAMPSON M.D. (PRESIDENT)
(517) 780-0080
Entity
Organization
Contact information
Practice address
1514 FOURTH ST, JACKSON, MI 49203-4032
(517) 780-0080
Mailing address
1514 FOURTH ST, JACKSON, MI 49203-4032
(517) 780-0080
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301049181
MI
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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