Organization
PREMIER PLASTIC SURGERY,P.C.,F.A.C.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMOTSUMI M MAKHENE MD (PLASTIC SURGEON WITH HAND SPECIALTY)
(810) 606-8200
Entity
Organization
Contact information
Practice address
9450 S SAGINAW RD STE F, GRAND BLANC, MI 48439-8206
(810) 606-8200
(810) 606-8282
Mailing address
PO BOX 1232, GRAND BLANC, MI 48480-3232
(810) 606-8200
(810) 606-8282
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250494
BN
MI
01
—
0986343
HP
MI
01
—
1001506
MCLAREN HEALTH PLAN
MI
05
—
4250386
—
MI
01
—
50015979
HEALTH ALLIANCE PLAN
MI
01
—
C6904
MCARE
MI
Enumeration date
01/10/2008
Last updated
01/10/2008
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