Organization
LAKESHORE PLASTIC AND RECONSTRUCTIVE SURGERY ASSOCIATES, P.C.
Active
Other names
Plastic Surgery Arts of West Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN E DODDE II MD (PRESIDENT)
(616) 738-5870
Entity
Organization
Contact information
Practice address
3124 N WELLNESS DRIVE, SUITE 10, HOLLAND, MI 49424-8121
(616) 738-5870
(616) 738-5872
Mailing address
3124 N WELLNESS DRIVE, SUITE 10, HOLLAND, MI 49424-8121
(616) 738-5870
(616) 738-5872
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
MI
Other
Enumeration date
10/16/2007
Last updated
07/21/2022
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