Organization
THE CENTER FOR AESTHETICS & PLASTIC SURGERY S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M VAN YE MD (OWNER)
(920) 725-0700
Entity
Organization
Contact information
Practice address
425 S COMMERCIAL ST, NEENAH, WI 54956-2526
(920) 725-0700
(920) 725-7978
Mailing address
425 S COMMERCIAL ST, NEENAH, WI 54956-2526
(920) 725-0700
(920) 725-7978
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000071560
MEDICARE
WI
Enumeration date
09/16/2005
Last updated
08/13/2015
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