Organization
COSMETIC & PLASTIC SURGERY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY KUMAR DIXIT M.D. (PRESIDENT)
(586) 263-9770
Entity
Organization
Contact information
Practice address
37300 GARFIELD RD, SUITE A, CLINTON TOWNSHIP, MI 48036-2051
(586) 263-9770
(586) 263-9770
Mailing address
37300 GARFIELD RD, SUITE A, CLINTON TOWNSHIP, MI 48036-2051
(586) 263-9770
(586) 263-9770
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
VD039924
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2591164
—
MI
Enumeration date
03/23/2010
Last updated
03/23/2010
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