Organization
CENTER FOR PLASTIC SURGERY ANN ARBOR, P.C.
Active
Other names
Center for Plastic & Reconstructive Surgery, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBYN NAILOR (ADMINISTRATIVE MANAGER)
(734) 712-7087
Entity
Organization
Contact information
Practice address
5333 MCAULEY DR, SUITE R5001, YPSILANTI, MI 48197-1014
(734) 712-2323
(734) 712-2312
Mailing address
5333 MCAULEY DR, SUITE R5001, YPSILANTI, MI 48197-1014
(734) 712-2323
(734) 712-2312
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240H110560
BLUE CROSS BLUE SHIEL
MI
01
—
G06651
BLUE CARE NETWORK
MI
Enumeration date
07/19/2006
Last updated
04/26/2023
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