Organization
CENTER OF AESTHETIC AND RECONSTRUCTIVE SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KONGKRIT CHAIYASATE MD (PRESIDENT)
(248) 890-2515
Entity
Organization
Contact information
Practice address
3270 W BIG BEAVER RD STE 415, TROY, MI 48084-2901
(248) 890-2515
Mailing address
125 BRIDGEVIEW DR, BLOOMFIELD HILLS, MI 48304-2425
(248) 890-2515
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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