Organization
QASAWA PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN QASAWA DO (OWNER)
(586) 630-7699
Entity
Organization
Contact information
Practice address
1080 KIRTS BLVD STE 700, TROY, MI 48084-4853
(248) 362-2300
Mailing address
1080 KIRTS BLVD STE 700, TROY, MI 48084-4853
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
05/21/2025
Last updated
06/04/2025
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