Organization
SIGNATURE SURGICAL ARTS AND MEDSPA PLLC
Active
Other names
Signature Surgical Arts and MedSpa
Organization subpart
No
Provider details
NPI number
Authorized official
JASON T STUBBS DO (OWNER/PHYSICIAN)
(812) 639-4570
Entity
Organization
Contact information
Practice address
3100 N WELLNESS DR, HOLLAND, MI 49424-8122
(616) 396-1433
Mailing address
3100 N WELLNESS DR, HOLLAND, MI 49424-8122
(616) 396-1433
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
10/27/2020
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