Organization
PLASTIC & COSMETIC SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE P POLETES MD (OWNER)
(517) 485-3583
Entity
Organization
Contact information
Practice address
1219 EAST SAGINAW STREET, LANSING, MI 48906
(517) 485-3583
(517) 485-3942
Mailing address
1219 EAST SAGINAW STREET, LANSING, MI 48906
(517) 485-3583
(517) 485-3942
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
GP069777
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
GP069777
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300066
PHP
MI
01
—
24033111081
BCBS
MI
Enumeration date
09/07/2006
Last updated
08/20/2013
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